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Contact Information

COMMUNITY BRIDGES, INC.
824 N 99TH AVE
SUITE 107-108
AVONDALE, AZ85323-5315
 Phone: 480-831-7566
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for COMMUNITY BRIDGES, INC.

NPI # 1205115631
LBN Legal business name COMMUNITY BRIDGES, INC.
Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/16/2011
Last updated 02/14/2023 - About 3 years ago
Identifiers
AZ License # OTC5972
AZ Other OTC5972 ADHS
AZ Other Z145163 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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