Vibra Hospital of Charleston LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VIBRA HOSPITAL OF CHARLESTON LLC

Doing business as

Vibra Hospital of Charleston-TCU

Practice address

1200 Hospital Dr
2ND Floor
Mt Pleasant, SC 29464-3251

Phone

(843) 375-4220

Fax

(843) 881-8147

NPI assigned

Jul 16, 2013

Last updated

Dec 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clint T. Fegan

Title

Sec/Treas

Phone

(717) 591-5700

Specialties & licenses 1

Addresses

Other names 1

• Vibra Hospital of Charleston-TCU Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1700227964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 ROYAL RIDGE PARKWAY",
            "address_2": "SUITE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632840",
            "telephone_number": "489-713-5470",
            "fax_number": "469-713-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR",
            "address_2": "2ND FLOOR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-375-4220",
            "fax_number": "843-881-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA HOSPITAL OF CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Hospital of Charleston-TCU",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibra Hospital of Charleston-TCU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Marie Vereen, PT
• Mary Alexandra Verissimo, DPT
• Elizabeth J Veronee, PA-C
• Wayne Charles Vial, MD
• Vibra Hospital of Charleston LLC (Vibra Hospital of Charleston)
• Erika Vidor
• Viemed Clinical Services, LLC
• Joseph Nicholas Villano
• Candice Marie Vinson, D.M.D.
• Allen Vis

• Skilled Nursing Facility in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.