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COMMUNITY BRIDGES INC NPI 1639119068


NPI Information

NPI: 1639119068
Provider Name: COMMUNITY BRIDGES, INC

Doing Business As: EAST VALLEY ADDICTION RECOVERY CENTER

Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
560 S. BELLVIEW
MESA, AZ
ZIP 85204
Phone: (480) 962-7711
Get Directions

COMMUNITY BRIDGES, INC is a case management in Mesa, AZ. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. COMMUNITY BRIDGES, INC NPI is 1639119068. The provider is registered as an organization entity type.
The provider Is Doing Business As East Valley Addiction Recovery Center.

The provider's business location address is:

560 S. BELLVIEW
MESA, AZ
ZIP 85204
Phone: (480) 962-7711
Fax: (480) 844-8449

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

The enumeration date for this NPI number is 6/7/2006 and was last updated on 2/13/2015.


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
1251S00000XCommunity/Behavioral HealthOTC6336ARIZONANo
2251J00000XNursing CareOTC6336ARIZONANo
3261QM0850XClinic/CenterAdult Mental HealthOTC6336ARIZONANo
4261QH0100XClinic/CenterHealth ServiceOTC6336ARIZONANo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6336ARIZONANo
6291U00000XClinical Medical LaboratoryOTC6336ARIZONANo
7343900000XNon-emergency Medical Transport (VAN)OTC6336ARIZONANo
8251B00000XCase ManagementOTC6336ARIZONAYes

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
1386442MEDICAIDARIZONA
2Z145163OTHERARIZONAMEDICARE 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: 11/14/2023

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