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Organization

4499 ACUSHNET AVENUE OPERATING COMPANY, LLC

Active
Find providers by NPI
Organization

4499 ACUSHNET AVENUE OPERATING COMPANY, LLC

Active
Other names
Vibra Hospital of Southeastern Massachusetts
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRAD E. HOLLINGER (PRESIDENT)
(717) 591-5700
Entity
Organization

Contact information

Practice address
4499 ACUSHNET AVE, NEW BEDFORD, MA 02745-4707
(508) 995-6900
(508) 985-9615
Mailing address
4499 ACUSHNET AVENUE, NEW BEDFORD, MA 02745-4707
(508) 995-6900
(508) 998-5974

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
079
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100548
—
MA
05
—
1100556
—
MA
05
—
1213393
—
MA
01
—
2222204301
BLUE CROSS INPATIENT
MA
01
—
2222204310
BLUE CROSS (OUTPATIENT)
MA
01
—
5000016
UNITED HEALTH
MA
01
—
903949
HARVARD PILGRIM
MA
01
—
982810
TUFTS INPATIENT
MA
01
—
982813
TUFTS OUTPATIENT
MA
Enumeration date
05/23/2006
Last updated
12/08/2017
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