Active NPI
Vibra Hospital of Northwestern Indiana, LLC
Doing business as Vibra Hospital of Northwestern Indiana
- Long Term Care Hospital
- Crown Point, IN
National Provider Identifier
1356491534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 100121311
- Legal business name
- VIBRA HOSPITAL OF NORTHWESTERN INDIANA, LLC
- Doing business as
- Vibra Hospital of Northwestern Indiana
- Practice address
- 9509 Georgia St
Crown Point, IN 46307-6518 - Phone
- (219) 472-2200
- Fax
- (219) 472-2148
- NPI assigned
- Jan 11, 2007
- Last updated
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad Eugene Hollinger
- Title
- President
- Phone
- (717) 591-5700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Long Term Care Hospital | 282E00000X | 100121311 | IN | Primary |
Addresses
Primary practice location
9509 Georgia St
Crown Point, IN 46307-6518
Mailing address
PO Box 26657
Fresno, CA 93729-6657
Phone (559) 892-2500
Other names 1
- Vibra Hospital of Northwestern Indiana
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1356491534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26657",
"city": "FRESNO",
"state": "CA",
"postal_code": "937296657",
"telephone_number": "559-892-2500",
"fax_number": "559-892-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9509 GEORGIA ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076518",
"telephone_number": "219-472-2200",
"fax_number": "219-472-2148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBRA HOSPITAL OF NORTHWESTERN INDIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2023-10-12",
"status": "A",
"authorized_official_last_name": "HOLLINGER",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-591-5700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "IN",
"license": "100121311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vibra Hospital of Northwestern Indiana",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vibra Hospital of Northwestern Indiana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.