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COMMUNITY BRIDGES INC. NPI 1659658516


NPI Information

NPI: 1659658516
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: BENSON OUTPATIENT SERVICES CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
470 S OCOTILLO AVE STE 1
BENSON, AZ
ZIP 85602
Phone: (480) 831-7566
Get Directions

COMMUNITY BRIDGES, INC. is a community behavioral health in Benson, 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 1659658516. The provider is registered as an organization entity type.
The provider Is Doing Business As Benson Outpatient Services Center.

The provider's business location address is:

470 S OCOTILLO AVE STE 1
BENSON, AZ
ZIP 85602-403
Phone: (480) 831-7566

The provider's authorized official is John F 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 11/7/2011 and was last updated on 1/2/2023.


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
1261QR1300XClinic/CenterRural HealthOTC6848ARIZONANo
2261QH0100XClinic/CenterHealth ServiceOTC6848ARIZONANo
3261QM0850XClinic/CenterAdult Mental HealthOTC6848ARIZONANo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6848ARIZONANo
5291U00000XClinical Medical LaboratoryOTC6848ARIZONANo
6343900000XNon-emergency Medical Transport (VAN)OTC6848ARIZONANo
7251B00000XCase ManagementOTC6848ARIZONANo
8251J00000XNursing CareOTC6848ARIZONANo
9251S00000XCommunity/Behavioral HealthOTC6848ARIZONAYes

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
1657478MEDICAIDARIZONA

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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