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COMMUNITY BRIDGES INC. NPI 1851698666


NPI Information

NPI: 1851698666
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: WINSLOW OUTPATIENT SERVICES CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
110 E SECOND ST
WINSLOW, AZ
ZIP 86047
Phone: (928) 289-1222
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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 2/14/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementBH-3829ARIZONANo
2251J00000XNursing CareOTC6949ARIZONANo
3261Q00000XClinic/CenterNo
4261QH0100XClinic/CenterHealth ServiceOTC6949ARIZONANo
5261QM0850XClinic/CenterAdult Mental HealthOTC6949ARIZONANo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6949ARIZONANo
7261QR1300XClinic/CenterRural HealthOTC6949ARIZONANo
8291U00000XClinical Medical LaboratoryOTC6949ARIZONANo
9343900000XNon-emergency Medical Transport (VAN)OTC6949ARIZONANo
10251S00000XCommunity/Behavioral HealthOTC6949ARIZONAYes

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
2333246MEDICAIDARIZONA

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: 5/5/2024

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