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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