VIBRA HOSPITAL OF BOISE LLC (NPI# 1639514094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639514094 |
| Entity Type | Organization |
| Organization Name | VIBRA HOSPITAL OF BOISE LLC |
| Other Organization Name | VIBRA HOSPITAL OF BOISE |
| Practice Address |
6651 W Franklin Rd Boise ID 83709-0914 |
| Mailing Address |
5 East River Park Place E #460 Fresno CA 93720-1560 |
| Practice Telephone | 2084899500 |
| Practice Fax Number | 2084899518 |
| Mailing Telephone | 5598022500 |
| Mailing Fax Number | 5598922442 |
| Enumeration Date | 2013-04-30 |
| 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 | 69 | ID | Hospitals |
| Other Name | Type Code |
|---|---|
| Vibra Hospital of Boise | Doing Business As Name - Organization |
| Street Address |
6651 W FRANKLIN RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-0914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427081744 | Tara Erbele | Family Medicine | 6651 W Franklin Rd, Boise, ID 83709-0914 | 2006-07-09 |
| 1275912305 | Monica Million | Registered Nurse | 6651 W Franklin Rd, Boise, ID 83709-0914 | 2015-05-21 |
| 1730405721 | Huiling Qi | Internal Medicine | 6651 W Franklin Rd, Boise, ID 83709-0914 | 2010-04-15 |
| 1114112216 | Southwest Idaho Advanced Care Hospital Inc -a Delaware Corp- | Internal Medicine | 6651 W Franklin Rd, Boise, ID 83709 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 1023079092 | Northern Idaho Advanced Care Hospital Inc | Long Term Care Hospital | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2006-03-30 |
| 1639211634 | St. Benedicts Family Medical Center | Long Term Care Hospital | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2007-02-13 |
| 1245371863 | St Lukes Regional Medical Center | Long Term Care Hospital | 895 N 6th E, Mtn Home, ID 83647-2207 | 2007-02-08 |
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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.