COMMUNITY BRIDGES INC. NPI 1295857084

NPI Information

NPI: 1295857084
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: CENTRAL CITY ADDICTION RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2770 E VAN BUREN ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 273-9999
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COMMUNITY BRIDGES, INC. is a substance abuse rehabilitation facility in Phoenix, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. COMMUNITY BRIDGES, INC. NPI is 1295857084. The provider is registered as an organization entity type.
The provider Is Doing Business As Central City Addiction Recovery Center.

The provider's business location address is:

2770 E VAN BUREN ST
PHOENIX, AZ
ZIP 85008-088
Phone: (602) 273-9999
Fax: (602) 273-9040

The provider's authorized official is John F Hogeboom .
The authorized official title is President/ceo and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251J00000X	Nursing Care		IFBH6374	ARIZONA	No
2	261QP2300X	Clinic/Center	Primary Care	IFBH6374	ARIZONA	No
3	276400000X	Rehabilitation, Substance Use Disorder Unit		IFBH6374	ARIZONA	No
4	291U00000X	Clinical Medical Laboratory		IFBH6374	ARIZONA	No
5	343900000X	Non-emergency Medical Transport (VAN)		IFBH6374	ARIZONA	No
6	324500000X	Substance Abuse Rehabilitation Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z145163	OTHER	ARIZONA	MEDICARE PTAN
2	382935	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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