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COMMUNITY BRIDGES INC NPI 1922304310


NPI Information

NPI: 1922304310
Provider Name: COMMUNITY BRIDGES, INC

Doing Business As: ASPIRE

Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 03D2036391

Address:
1012 S STAPLEY DR
BLDG 5
MESA, AZ
ZIP 85204
Phone: (480) 768-6022
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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 1922304310. The provider is registered as an organization entity type.
The provider Is Doing Business As Aspire.

The provider's business location address is:

1012 S STAPLEY DR
BLDG 5
MESA, AZ
ZIP 85204-270
Phone: (480) 768-6022
Fax: (480) 831-0078

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 03D2036391 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2011 and was last updated on 5/9/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementOTC6484ARIZONAYes

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
1591991MEDICAIDARIZONA

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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