Community Bridges, Inc. in Mesa - Substance Abuse Rehabilitation Facility
Community Bridges, Inc. - NPI 1356461727
Community Bridges, Inc. is a Substance Abuse Rehabilitation Facility in Mesa, Arizona. Community Bridges, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Community Bridges, Inc. is 1356461727. The last update date is 2023-01-02.
Community Bridges, Inc.'s current location address is 1855 W. Baseline Rd., Mesa, Arizona. You can contact this provider via phone number 4808317566 and fax number 4808317563. The mailing address for Community Bridges, Inc. is 1855 W. Baseline Rd., Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Bridges, Inc. |
|---|---|
| Address | 1855 W. Baseline Rd., Mesa, Arizona |
| Phone Number | 4808317566 |
| Fax Number | 4808317563 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Hogeboom F John |
| Credentials | LISAC |
| Telephone Number | 4808317566 |
NPI Number Detail
| NPI Number | 1356461727 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2023-01-02 |
Provider Mailing Address Detail
| Address | 1855 W. Baseline Rd. |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852029098 |
| Phone Number | 4808317566 |
| Fax Number | 4808317563 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z145163 | AZ | MEDICARE PTAN | |
| 419683 | AZ | -- |
Post Comment/ Review Below
What is the Community Bridges, Inc.'s 1356461727?
The Community Bridges, Inc.'s NPI (National Provider Identifier) Number is 1356461727. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Community Bridges, Inc. is physically located?
The Community Bridges, Inc. is physically situated at the following address: 1855 W. Baseline Rd., Mesa, AZ, 852029098.
What is Community Bridges, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Bridges, Inc. is Substance Abuse Rehabilitation Facility, and the taxonomy classification code that categorizes this area of expertise is 324500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356461727 to Community Bridges, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1356461727 to Community Bridges, Inc. on 2007-03-30.
As of what date was the information pertaining to Community Bridges, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Community Bridges, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-01-02.