BRIDGES HABILITATION SERVICES INC. NPI 1710392220

NPI Information

  • NPI: 1710392220
  • Provider Name: BRIDGES HABILITATION SERVICES, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: BRIDGES
  • Address: 400 S KENDRICK AVE
    SUITE 201D
    GILLETTE, WY
    ZIP 82716
  • Phone: (307) 685-7105

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NPI Details

BRIDGES HABILITATION SERVICES, INC. is a mental health (including community mental health center) clinic center in Gillette, WY. BRIDGES HABILITATION SERVICES, INC. NPI is 1710392220. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridges.

The provider's business location address is:

400 S KENDRICK AVE
SUITE 201D
GILLETTE, WY
ZIP 82716-848
Phone: (307) 685-7105
Fax: (307) 222-0614

The provider's authorized official is David M Canen .
The authorized official title is Ceo and has the following contact phone number (307) 789-0664.

The enumeration date for this NPI number is 6/23/2014 and was last updated on 6/23/2014.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
1W26069MEDICARE PINWYOMING
21245305804MEDICAIDWYOMING

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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