VIBRA HOSPITAL OF MAHONING VALLEY LLC NPI 1528203049

NPI Information

NPI: 1528203049
Provider Name: VIBRA HOSPITAL OF MAHONING VALLEY LLC

Doing Business As: VIBRA HOSPITAL OF MAHONING VALLEY

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

Address:
8049 SOUTH AVE
BOARDMAN, OH
ZIP 44512
Phone: (330) 726-5021
Get Directions

VIBRA HOSPITAL OF MAHONING VALLEY LLC is a long term care hospital in Boardman, OH. 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. VIBRA HOSPITAL OF MAHONING VALLEY LLC NPI is 1528203049. The provider is registered as an organization entity type.
The provider Is Doing Business As Vibra Hospital Of Mahoning Valley.

The provider's business location address is:

8049 SOUTH AVE
BOARDMAN, OH
ZIP 44512-154
Phone: (330) 726-5021
Fax: (330) 726-5053

The provider's authorized official is Clint T. Fegan .
The authorized official title is Sec/treas and has the following contact phone number (717) 591-5700.

The CLIA number assigned to this NPI record is 36D0962425 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/12/2008 and was last updated on 12/14/2018.

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	282N00000X	General Acute Care Hospital		1428	OHIO	No
2	282E00000X	Long Term Care Hospital		1428	OHIO	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	1032312470001	MEDICAID	PENNSYLVANIA
2	3140729	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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