Provider Demographics
| NPI: | 1285945600 |
|---|---|
| Name: | REX HOSPITAL INC |
| Entity type: | Organization |
| Organization Name: | REX HOSPITAL INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VP FINANCE COMMUNITY PHYSICIANS |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MARIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | JAYOUSSI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 440-476-1713 |
| Mailing Address - Street 1: | 2901 BLUE RIDGE RD STE 102 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | RALEIGH |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 27607-6423 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 919-784-6878 |
| Mailing Address - Fax: | 919-784-6899 |
| Practice Address - Street 1: | 2901 BLUE RIDGE RD STE 102 |
| Practice Address - Street 2: | |
| Practice Address - City: | RALEIGH |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27607-6423 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 919-784-6878 |
| Practice Address - Fax: | 919-784-6899 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-06-30 |
| Last Update Date: | 2025-01-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207QH0002X | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Multi-Specialty |
| No | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | Group - Multi-Specialty |
| No | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | Group - Multi-Specialty |
| No | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NC | D555 | Medicare PIN |