Pender Memorial Hospital

LBN: Pender Memorial Hospital Inc
Pender Memorial Hospital is an health care organization with primary practice located at 507 E Fremont St , Burgaw NC 28425-5131. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Pender Memorial Hospital Inc can be contacted via phone (910) 259-0704, or through Willets, George via phone (910) 259-0704.

Contact Information

Primary practice address
507 E Fremont St Burgaw NC 28425-5131
Phone: (910) 259-0704
Fax: (910) 259-9420
Website:
Map and Directions
Authorized official contact:
Name: Willets, George RPH
Phone: (910) 259-0704

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 02290 North Carolina

Profile Details

NPI number 1801957675
LBN Legal business name Pender Memorial Hospital Inc
DBA Doing business as Pender Memorial Hospital
Authorized official Willets, George RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated May 13th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801957675 NPPES
Other 2065212 PK
MEDICAID 0715078 PK

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