# VIBRA HOSPITAL OF MAHONING VALLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vibra Hospital of Mahoning Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528203049
- **Authorized official:** MR. CLINT T. FEGAN (SEC/TREAS)
- **Authorized official phone:** (717) 591-5700

## Contact information

- **Practice address:** 8049 SOUTH AVE, BOARDMAN, OH 44512-6154
- **Practice address phone:** (330) 726-5021
- **Practice address fax:** (330) 726-5053
- **Mailing address:** 5 EAST RIVER PARK PLACE E \#460, FRESNO, CA 93720-1560
- **Mailing address phone:** (559) 892-2500
- **Mailing address fax:** (559) 892-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 1428 | OH | Yes |
| 282N00000X | General Acute Care Hospital | 1428 | OH | — |

## Other

- **Enumeration date:** 12/12/2008
- **Last updated:** 12/14/2018