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8451 PEARL STREET OPERATING COMPANY LLC NPI 1962444935


NPI Information

NPI: 1962444935
Provider Name: 8451 PEARL STREET OPERATING COMPANY LLC

Doing Business As: VIBRA PSYCHIATRIC HOSPITAL

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
8451 PEARL ST
THORNTON, CO
ZIP 80229
Phone: (303) 288-3000
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8451 PEARL STREET OPERATING COMPANY LLC is a psychiatric hospital in Thornton, CO. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. 8451 PEARL STREET OPERATING COMPANY LLC NPI is 1962444935. The provider is registered as an organization entity type.
The provider Is Doing Business As Vibra Psychiatric Hospital.

The provider's business location address is:

8451 PEARL ST
THORNTON, CO
ZIP 80229-804
Phone: (303) 288-3000
Fax: (303) 286-1253

The provider's authorized official is Brad Hollinger .
The authorized official title is President/ceo and has the following contact phone number (171) 591-5700.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric Hospital010403COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1508578MEDICARE ID-TYPE UNSPECIFIEDCOLORADOMEDICARE PART B
258404015MEDICAIDNEW MEXICO
336632040MEDICAIDCOLORADO
4064018MEDICARE OSCAR/CERTIFICATIONCOLORADO

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

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