COMMUNITY BRIDGES INC. NPI 1851698666

NPI Information

  • NPI: 1851698666
  • Provider Name: COMMUNITY BRIDGES, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: WINSLOW OUTPATIENT SERVICES CENTER
  • Address: 110 E SECOND ST
    WINSLOW, AZ
    ZIP 86047
  • Phone: (928) 289-1222

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NPI Details

COMMUNITY BRIDGES, INC. is a community behavioral health in Winslow, 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 1851698666. The provider is registered as an organization entity type.
The provider Is Doing Business As Winslow Outpatient Services Center.

The provider's business location address is:

110 E SECOND ST
WINSLOW, AZ
ZIP 86047-704
Phone: (928) 289-1222
Fax: (928) 289-1122

The provider's authorized official is John 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 2/15/2011 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 ManagementBH-3829ARIZONANo
2251J00000XNursing CareOTC6949ARIZONANo
3251S00000XCommunity/Behavioral HealthOTC6949ARIZONAYes
4261Q00000XClinic/CenterNo
5261QH0100XClinic/CenterHealth ServiceOTC6949ARIZONANo
6261QM0850XClinic/CenterAdult Mental HealthOTC6949ARIZONANo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6949ARIZONANo
9261QR1300XClinic/CenterRural HealthOTC6949ARIZONANo
10291U00000XClinical Medical LaboratoryOTC6949ARIZONANo
11343900000XNon-emergency Medical Transport (VAN)OTC6949ARIZONANo

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
1333246MEDICAIDARIZONA
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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