| Organization Name: | VIBRA HOSPITAL OF BOISE LLC |
| NPI Number: | 1639514094 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD E HOLLINGER (PRESIDENT) |
| Mailing Address: | 2131 S Bonito Way Meridian |
| State: | ID US |
| Postal Code: | 836421659 |
| Phone Number: | 2084899500 |
| Fax Number: | 2084899518 |
| NPI Enumeration Date: | 04/30/2013 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | 69 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |