COMMUNITY BRIDGES INC NPI 1093960304

NPI Information

  • NPI: 1093960304
  • Provider Name: COMMUNITY BRIDGES, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: GLOBE OUTPATIENT SERVICES CENTER
  • CLIA Number: 03D2036585
  • Address: 5734 HOPE LN STE 2
    GLOBE, AZ
    ZIP 85501
  • Phone: (928) 425-2415

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NPI Details

COMMUNITY BRIDGES, INC is a community behavioral health in Globe, 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 1093960304. The provider is registered as an organization entity type.
The provider Is Doing Business As Globe Outpatient Services Center.

The provider's business location address is:

5734 HOPE LN STE 2
GLOBE, AZ
ZIP 85501-488
Phone: (928) 425-2415
Fax: (928) 425-2464

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 CLIA number assigned to this NPI record is 03D2036585 - other - out patient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 8/28/2024.

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 ManagementOTC6025ARIZONANo
2251J00000XNursing CareOTC6025ARIZONANo
3251S00000XCommunity/Behavioral HealthOTC6025ARIZONAYes
4261QH0100XClinic/CenterHealth ServiceOTC6025ARIZONANo
5261QM0850XClinic/CenterAdult Mental HealthOTC6025ARIZONANo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6025ARIZONANo
7261QR1300XClinic/CenterRural HealthOTC6025ARIZONANo
8291U00000XClinical Medical LaboratoryOTC6025ARIZONANo
9343900000XNon-emergency Medical Transport (VAN)OTC6025ARIZONANo

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
1Z145164OTHERARIZONAMEDICARE PTAN
2438223MEDICAIDARIZONA

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: 3/30/2025

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