Ballard Rehabilitation Hospital

LBN: Vibra Hospital Of San Bernardino, Llc
Ballard Rehabilitation Hospital is an health care organization with primary practice located at 1760 W 16Th St , San Bernardino CA 92411-1160. The organization recently has only one registered license in Hospitals / Rehabilitation Hospital, which is considered as the primary health care specialty. Vibra Hospital Of San Bernardino, Llc can be contacted via phone (909) 473-1200, or through Fegan, Clint T. via phone (717) 591-5700.

Contact Information

Primary practice address
1760 W 16Th St San Bernardino CA 92411-1160
Fax: (909) 473-1276
Website:
Authorized official contact:
Name: Fegan, Clint T.

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rehabilitation Hospital 283X00000X 240000502 California

Profile Details

NPI number 1497748081
LBN Legal business name Vibra Hospital Of San Bernardino, Llc
DBA Doing business as Ballard Rehabilitation Hospital
Authorized official Fegan, Clint T.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2005
Last updated Dec 17th, 2018 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497748081 NPPES
Other ZZZH3608Z BLUE SHIELD
Other 120321000 BLUE SHIELD
MEDICAID 1497748081 BLUE SHIELD

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