COMMUNITY BRIDGES INC. NPI 1215487384

NPI Information

NPI: 1215487384
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: DODGE DETOXIFICATION CENTER

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
2502 N DODGE BLVD
SUITE 190
TUCSON, AZ
ZIP 85716
Phone: (520) 323-1309
Get Directions

COMMUNITY BRIDGES, INC. is a nursing care in Tucson, AZ. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. COMMUNITY BRIDGES, INC. NPI is 1215487384. The provider is registered as an organization entity type.
The provider Is Doing Business As Dodge Detoxification Center.

The provider's business location address is:

2502 N DODGE BLVD
SUITE 190
TUCSON, AZ
ZIP 85716-671
Phone: (520) 323-1309
Fax: (520) 323-1315

The provider's authorized official is John Hogeboom .
The authorized official title is Vp/chief Operating Officer and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

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	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory	IFBH7808	ARIZONA	No
2	343900000X	Non-emergency Medical Transport (VAN)	IFBH7808	ARIZONA	No
3	251J00000X	Nursing Care	IFBH7808	ARIZONA	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	IFBH7808	OTHER	ARIZONA	ADHS

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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