COMMUNITY BRIDGES INC NPI 1548416514

NPI Information

  • NPI: 1548416514
  • Provider Name: COMMUNITY BRIDGES, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: PAYSON OUTPATIENT SERVICES CENTER
  • CLIA Number: 03D2119924
  • Address: 803 W MAIN ST
    PAYSON, AZ
    ZIP 85541
  • Phone: (928) 468-0022

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NPI Details

COMMUNITY BRIDGES, INC is a community behavioral health in Payson, 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 1548416514. The provider is registered as an organization entity type.
The provider Is Doing Business As Payson Outpatient Services Center.

The provider's business location address is:

803 W MAIN ST
PAYSON, AZ
ZIP 85541-993
Phone: (928) 468-0022
Fax: (928) 468-0044

The provider's authorized official is John F 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 03D2119924 - other - mental health facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2008 and was last updated on 9/18/2024.

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
1251B00000XCase ManagementOTC6017ARIZONANo
2251J00000XNursing CareOTC6017ARIZONANo
3251S00000XCommunity/Behavioral HealthOTC6017ARIZONAYes
4261Q00000XClinic/CenterNo
5261QH0100XClinic/CenterHealth ServiceOTC6017ARIZONANo
6261QM0850XClinic/CenterAdult Mental HealthOTC6017ARIZONANo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6017ARIZONANo
9261QR1300XClinic/CenterRural HealthOTC6017ARIZONANo
10291U00000XClinical Medical LaboratoryOTC6017ARIZONANo
11343900000XNon-emergency Medical Transport (VAN)OTC6017ARIZONANo

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
1357379MEDICAIDARIZONA
2Z145164OTHERARIZONAMEDICARE PTAN

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: 11/21/2025

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