VIBRA HOSPITAL OF SPRINGFIELD LLC (NPI# 1083059539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083059539 |
| Entity Type | Organization |
| Organization Name | VIBRA HOSPITAL OF SPRINGFIELD LLC |
| Other Organization Name | VIBRA HOSPITAL OF SPRINGFIELD |
| Practice Address |
701 N Walnut St Springfield IL 62702-4931 |
| Mailing Address |
8081 Royal Ridge Parkway Suite 130 Irving TX 75063-2840 |
| Practice Telephone | 2175281217 |
| Practice Fax Number | 2175281633 |
| Mailing Telephone | 4697135470 |
| Mailing Fax Number | 4697130480 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MR. CLINT T. FEGAN (SEC/TREAS) |
| Authorized Official Telephone | 7175915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 0005900 | IL | Hospitals |
| Other Name | Type Code |
|---|---|
| Vibra Hospital of Springfield | Doing Business As Name - Organization |
| Street Address |
701 N WALNUT ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952787376 | Angela Katherine Severado | Nurse Practitioner | 701 N Walnut St, Springfield, IL 62702 | 2015-08-07 |
| 1699035295 | Kindred Healthcare Operating, Inc | Hospitalist | 701 N Walnut St, Springfield, IL 62702-4913 | 2012-05-17 |
| 1316255102 | Frederick Wendler | Physical Therapist | 701 N Walnut St, Springfield, IL 62702-4931 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215116827 | Select Specialty Hospital Springfield Inc | Long Term Care Hospital | 1630 E Primrose St, Springfield, MO 65804-7929 | 2007-10-31 |
| 1588009039 | Vibra Hospital of Western Massachusetts LLC | Long Term Care Hospital | 1400 State St, Springfield, MA 01109-2550 | 2013-05-09 |
| 1821308180 | Select Specialty Hospital Springfield Inc | Long Term Care Hospital | 1630 E Primrose St, Springfield, MO 65804-7929 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
| 1861664013 | Pioneer Gardens Senior Housing Lp | Long Term Care Hospital | 3800 S King Dr, Chicago, IL 60653-1785 | 2008-03-27 |
| 1780769257 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178 | 2006-10-25 |
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 2006-10-25 |
| 1023192572 | Lynda Kerstin De La Cotera | Long Term Care Hospital | 211 Franklin Ave, River Forest, IL 60305-2115 | 2006-10-24 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1952304826 | Rml Health Providers Limited Partnership | Long Term Care Hospital | 5601 South County Line Road, Hinsdale, IL 60521 | 2005-05-24 |
| 1508472804 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164-2628 | 2020-09-22 |
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.