VIBRA HOSPITAL OF MAHONING VALLEY LLC
Long Term Care Hospital
Boardman, Ohio
Provider NPI: 1528203049
Organization Information:Organization Name: VIBRA HOSPITAL OF MAHONING VALLEY LLC
Practice Location:
8049 SOUTH AVE BOARDMAN, OH 44512 US
Tel: 330-726-5021 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8049 SOUTH AVE BOARDMAN, OH 44512 US
Tel: 330-726-5021 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 282N00000X | Hospitals General Acute Care Hospital | OH | 1428 |
Y | 282E00000X | Hospitals Long Term Care Hospital | OH | 1428 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1032312470001 | PA | 05 | |
3140729 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin