Organization
VIBRA HOSPITAL OF SPRINGFIELD LLC
Active
Other names
Vibra Hospital of Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT T. FEGAN (SEC/TREAS)
(717) 591-5700
Entity
Organization
Contact information
Practice address
701 N WALNUT ST, SPRINGFIELD, IL 62702-4931
(217) 528-1217
(217) 528-1633
Mailing address
8081 ROYAL RIDGE PARKWAY, SUITE 130, IRVING, TX 75063-2840
(469) 713-5470
(469) 713-0480
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
0005900
IL
Other
Enumeration date
05/09/2013
Last updated
12/17/2018
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