4499 ACUSHNET AVENUE OPERATING COMPANY LLC NPI 1164477055

NPI Information

NPI: 1164477055
Provider Name: 4499 ACUSHNET AVENUE OPERATING COMPANY, LLC

Other Name: VIBRA HOSPITAL OF SOUTHEASTERN MASSACHUSETTS

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

Address:
4499 ACUSHNET AVE
NEW BEDFORD, MA
ZIP 02745
Phone: (508) 995-6900
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4499 ACUSHNET AVENUE OPERATING COMPANY, LLC is a long term care hospital in New Bedford, MA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. 4499 ACUSHNET AVENUE OPERATING COMPANY, LLC NPI is 1164477055. The provider is registered as an organization entity type.
The provider Other Name Is Vibra Hospital Of Southeastern Massachusetts.

The provider's business location address is:

4499 ACUSHNET AVE
NEW BEDFORD, MA
ZIP 02745-707
Phone: (508) 995-6900
Fax: (508) 985-9615

The provider's authorized official is Brad E. Hollinger .
The authorized official title is President and has the following contact phone number (717) 591-5700.

The CLIA number assigned to this NPI record is 22D0707030 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/8/2017.

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
1	282E00000X	Long Term Care Hospital		079	MASSACHUSETTS	Yes

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
1	1100548	MEDICAID	MASSACHUSETTS
2	2222204301	OTHER	MASSACHUSETTS	BLUE CROSS INPATIENT
3	982813	OTHER	MASSACHUSETTS	TUFTS OUTPATIENT
4	1100556	MEDICAID	MASSACHUSETTS
5	2222204310	OTHER	MASSACHUSETTS	BLUE CROSS (OUTPATIENT)
6	5000016	OTHER	MASSACHUSETTS	UNITED HEALTH
7	1213393	MEDICAID	MASSACHUSETTS
8	903949	OTHER	MASSACHUSETTS	HARVARD PILGRIM
9	982810	OTHER	MASSACHUSETTS	TUFTS INPATIENT

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: 4/28/2024

NPI Synchronization or Removal

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