Organization Name: | PENDER MEMORIAL HOSPITAL INCORPORATED |
NPI Number: | 1033242987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID H. LONG (ADMINISTRATOR/SITE EXECUTIVE OFFICE) |
Mailing Address: | 507 E Fremont St Burgaw |
State: | NC US |
Postal Code: | 284255131 |
Phone Number: | 9102595451 |
Fax Number: | 9102597136 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H0115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |