Community Bridges West, Inc. in Ruston - Intermediate Care Facility, Intellectual Disabilities
Community Bridges West, Inc. - NPI 1386770162
Community Bridges West, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Ruston, Louisiana. Community Bridges West, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Bridges West, Inc. is 1386770162. The last update date is 2020-08-22.
Community Bridges West, Inc.'s current location address is Po Box 715, Ruston, Louisiana. You can contact this provider via phone number 3182559137 and fax number 3182558233. The mailing address for Community Bridges West, Inc. is Po Box 715, Ruston, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Bridges West, Inc. |
|---|---|
| Address | Po Box 715, Ruston, Louisiana |
| Phone Number | 3182559137 |
| Fax Number | 3182558233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Reynolds L. Mike |
| Telephone Number | 3182559137 |
NPI Number Detail
| NPI Number | 1386770162 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 715 |
|---|---|
| City | Ruston |
| State | Louisiana (LA) |
| Post Code | 712730715 |
| Phone Number | 3182559137 |
| Fax Number | 3182558233 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 897 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1718424 | LA | -- |
Post Comment/ Review Below
What is the Community Bridges West, Inc.'s 1386770162?
The Community Bridges West, Inc.'s NPI (National Provider Identifier) Number is 1386770162. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Community Bridges West, Inc.'s facilities are situated?
The facilities of Community Bridges West, Inc. are physically located at the following address: Po Box 715, Ruston, LA, 712730715.
What is Community Bridges West, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Bridges West, Inc.'s area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386770162 to Community Bridges West, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1386770162 to Community Bridges West, Inc. on 2007-02-26.
When was the information regarding Community Bridges West, Inc. most recently updated?
The details pertaining to the Community Bridges West, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1467458307
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