PENDER MEMORIAL HOSPITAL INCORPORATED (NPI# 1033242987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033242987 |
| Entity Type | Organization |
| Organization Name | PENDER MEMORIAL HOSPITAL INCORPORATED |
| Other Organization Name | PENDER MEMORIAL HOSPIAL EKG |
| Practice Address |
507 E Fremont St Burgaw NC 28425-5131 |
| Practice Telephone | 9102595451 |
| Practice Fax Number | 9102597136 |
| Mailing Telephone | 9102595451 |
| Mailing Fax Number | 9102597136 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | MR. DAVID H. LONG (ADMINISTRATOR/SITE EXECUTIVE OFFICE) |
| Authorized Official Telephone | 9102595451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H0115 | NC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8969959 | 05 | |
| NC | 8907714 | 05 |
| Other Name | Type Code |
|---|---|
| PENDER MEMORIAL HOSPIAL EKG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444901 | Pender Memorial Hospital Incorporated | General Acute Care Hospital | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-03-13 |
| Street Address |
507 E FREMONT ST |
| City | BURGAW |
| State | NC |
| Zip Code | 28425-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346217676 | Pender Memorial Hospital, Inc | Home Health | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-03-06 |
| 1245886118 | Megan Lydon | Speech-Language Pathologist | 507 E Fremont St, Burgaw, NC 28425-5131 | 2019-08-15 |
| 1861839078 | Ann Elsasser | Physical Therapist | 507 E Fremont St, Burgaw, NC 28425-5131 | 2013-05-29 |
| 1184948648 | Heather L Downs D O PC | Family Medicine | 507 E Fremont St, Pender Memorial Hospital, Burgaw, NC 28425-5131 | 2010-03-26 |
| 1588986616 | R Henry Temple, Md., PC | Obstetrics & Gynecology | 507 E Fremont St, Burgaw, NC 28425-5131 | 2010-02-16 |
| 1467646471 | Benjamin Scott Wiles | Emergency Medicine | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-09-03 |
| 1053444901 | Pender Memorial Hospital Incorporated | General Acute Care Hospital | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-03-13 |
| 1801957675 | Pender Memorial Hospital Inc | Pharmacy | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-12-13 |
| 1255407680 | Ecep II Pa | Emergency Medicine | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-11-28 |
| 1023030756 | Pender Memorial Hospital Inc. | Medicare Defined Swing Bed Unit | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1881136851 | Pender Pediatric Therapy, PC | Speech-Language Pathologist | 126 W. Fremont St., Burgaw, NC 28425 | 2016-11-08 |
| 1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
| 1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| Find all providers in zip 28425 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444901 | Pender Memorial Hospital Incorporated | General Acute Care Hospital | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-03-13 |
| 1295703130 | Pender Memorial Hospital, Incorporated | General Acute Care Hospital | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-03-08 |
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|---|---|---|---|---|
| 1568647857 | Hidetaka Yanagi | General Acute Care Hospital | Section On Infectious Disease Wake Forest Univ Sm, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-01-04 |
| 1992838593 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors Street, Sparta, NC 28675-9247 | 2007-03-13 |
| 1831241132 | Highlands-cashiers Hospital | General Acute Care Hospital | Hospital Dr Hwy 64 East, Highlands, NC 28741-0190 | 2007-01-17 |
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1346205978 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-18 |
| 1316908858 | Yancey Community Medical Services, Inc. | General Acute Care Hospital | 320 Pensacola Rd, Burnsville, NC 28714-3318 | 2006-03-31 |
| 1356318968 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors St, Sparta, NC 28675-9247 | 2006-03-02 |
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| 1093712655 | Chatham Hospital Inc | General Acute Care Hospital | 475 Progress Blvd., Siler City, NC 27344 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.