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COMMUNITY BRIDGES INC. NPI 1831678721


NPI Information

NPI: 1831678721
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: PCMH

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1520 E PIMA ST
PHOENIX, AZ
ZIP 85034
Phone: (602) 407-6280
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COMMUNITY BRIDGES, INC. is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY BRIDGES, INC. NPI is 1831678721. The provider is registered as an organization entity type.
The provider Is Doing Business As Pcmh.

The provider's business location address is:

1520 E PIMA ST
PHOENIX, AZ
ZIP 85034-639
Phone: (602) 407-6280

The provider's authorized official is John 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 8/10/2018 and was last updated on 7/14/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementOTC8969ARIZONANo
2251J00000XNursing CareOTC8969ARIZONANo
3261QH0100XClinic/CenterHealth ServiceOTC8969ARIZONANo
4261QM0850XClinic/CenterAdult Mental HealthOTC8969ARIZONANo
5261QP2300XClinic/CenterPrimary CareOTC8969ARIZONANo
6291U00000XClinical Medical LaboratoryOTC8969ARIZONANo
7343900000XNon-emergency Medical Transport (VAN)OTC8969ARIZONANo
8251S00000XCommunity/Behavioral HealthOTC8969ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OTC8969OTHERARIZONAADHS

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

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