COMMUNITY BRIDGES, INC; NPI #1861722175

Contact Information

COMMUNITY BRIDGES, INC

3250 E 40TH ST
ROOM B
YUMA, AZ 85365-7994

Phone: 928-341-4220
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory
Non-emergency Medical Transport (VAN)	343900000X
Psychiatric Residential Treatment Facility	323P00000X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for COMMUNITY BRIDGES, INC

NPI # 1861722175

LBN Legal business name COMMUNITY BRIDGES, INC

Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/08/2010

Last updated 01/13/2023 - About 3 years ago

Identifiers

AZ	License #	BH-3480
AZ	Medicaid	488183
AZ	Other	Z148077	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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