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COMMUNITY BRIDGES INC NPI 1427596196

NPI Profile

NPI: 1427596196
Provider Name: COMMUNITY BRIDGES, INC

Doing Business As: TOOLE OUTPATIENT SERVICE CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2122515

Address:
250 S TOOLE AVE
TUCSON, AZ
ZIP 85701
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Phone: (480) 831-7566

COMMUNITY BRIDGES, INC is a communitybehavioral health in Tucson, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 1427596196. The provider is registered as an organization entity type.
The provider Is Doing Business As Toole Outpatient Service Center.

The provider's business location address is:

250 S TOOLE AVE
TUCSON, AZ
ZIP 85701-814
Phone: (480) 831-7566
Fax: (480) 831-7576

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

The CLIA number assigned to this NPI record is 03D2122515 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 5/8/2017.

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
1261QH0100XClinic/CenterHealth ServiceOTC8024ARIZONANo
2291U00000XClinical Medical LaboratoryOTC8024ARIZONANo
3343900000XNon-emergency Medical Transport (VAN)OTC8024ARIZONANo
4251S00000XCommunity/Behavioral HealthOTC8024ARIZONAYes

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
1OTC8024OTHERARIZONAADHS
2238225OTHERARIZONAAHCCCS

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: 7/3/2020

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