Organization
VIBRA HOSPITAL OF MAHONING VALLEY LLC
Active
Other names
Vibra Hospital of Mahoning Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT T. FEGAN (SEC/TREAS)
(717) 591-5700
Entity
Organization
Contact information
Practice address
8049 SOUTH AVE, BOARDMAN, OH 44512-6154
(330) 726-5021
(330) 726-5053
Mailing address
5 EAST RIVER PARK PLACE E #460, FRESNO, CA 93720-1560
(559) 892-2500
(559) 892-2442
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
1428
OH
282N00000X
General Acute Care Hospital
1428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032312470001
—
PA
05
—
3140729
—
OH
Enumeration date
12/12/2008
Last updated
12/14/2018
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