COMMUNITY BRIDGES, INC.; NPI #1881836807

Contact Information

COMMUNITY BRIDGES, INC.

105 N COTTONWOOD AVE
WINSLOW, AZ 86047-4011

Phone: 928-289-3151
Fax: 928-289-2444
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Substance Abuse Disorder Rehabilitation Facility	324500000X
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory
Non-emergency Medical Transport (VAN)	343900000X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for COMMUNITY BRIDGES, INC.

NPI # 1881836807

LBN Legal business name COMMUNITY BRIDGES, INC.

Authorized official JOHN HOGEBOOM - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/06/2009

Last updated 07/14/2022 - About 4 years ago

Identifiers

AZ	License #	SABH6349
AZ	Medicaid	422788

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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COMMUNITY BRIDGES, INC.

Contact Information

Specialty

Substance Abuse Disorder Rehabilitation Facility

Clinical Medical Laboratory

Non-emergency Medical Transport (VAN)

Rural Health

NPI Profile & details for COMMUNITY BRIDGES, INC.

Reviews for COMMUNITY BRIDGES, INC.