PENDER MEMORIAL HOSPITAL INCORPORATED NPI 1053444901

NPI Information

  • NPI: 1053444901
  • Provider Name: PENDER MEMORIAL HOSPITAL INCORPORATED
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Other Name: PENDER MEMORIAL HOSPITAL ANESTHESIA
  • Address: 507 E FREMONT ST
    BURGAW, NC
    ZIP 28425
  • Phone: (910) 259-5451

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NPI Details

PENDER MEMORIAL HOSPITAL INCORPORATED is a critical access general acute care hospital in Burgaw, NC. PENDER MEMORIAL HOSPITAL INCORPORATED NPI is 1053444901. The provider is registered as an organization entity type.
The provider Other Name Is Pender Memorial Hospital Anesthesia.

The provider's business location address is:

507 E FREMONT ST
BURGAW, NC
ZIP 28425-131
Phone: (910) 259-5451
Fax: (910) 259-7136

The provider's authorized official is Ruth Ann Glaser .
The authorized official title is President & Coo and has the following contact phone number (910) 300-4004.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 10/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical AccessH0115NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18000199MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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