NPIMap

Organization Active NPI

Rex Hospital, Inc.

Doing business as UNC Rex Critical Care Transport

  • Land Ambulance
  • Raleigh, NC
National Provider Identifier
1649494188
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1580 Issued in NC
Legal business name
REX HOSPITAL, INC.
Doing business as
UNC Rex Critical Care Transport
Practice address
2709 Blue Ridge Rd Ste 340
Raleigh, NC 27607-6462
Phone
(919) 784-4608
Fax
(919) 784-4786
NPI assigned
Apr 13, 2007
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Benjamiin James Mathew
Title
Cfo
Phone
(919) 784-1440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1580 NC Primary
Non-emergency Medical Transport (VAN) 343900000X 1580 NC

Addresses

Primary practice location

2709 Blue Ridge Rd Ste 340
Raleigh, NC 27607-6462

Mailing address

2709 Blue Ridge Rd Ste 340
Raleigh, NC 27607-6462
Phone (919) 784-3467

Other identifiers 1

IdentifierTypeStateIssuer
3406898MedicaidNC

Other names 1

  • UNC Rex Critical Care Transport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000337 NC Part B Supplier - Ambulance Service Supplier 0840109864 Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2135037Unc Rex Critical Care Transport2709 Blue Ridge Road, Suite 340, Raleigh, NC 27607Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rex Outreach16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2709 Blue Ridge Rd
Ste 240
Raleigh, NC 27607

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1649494188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 340",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-784-3467",
            "fax_number": "919-784-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD STE 340",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-784-4608",
            "fax_number": "919-784-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BENJAMIIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-784-1440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1580",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "1580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Rex Critical Care Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.