Community Bridges, Inc. in Payson - Substance Abuse Rehabilitation Facility
Community Bridges, Inc. - NPI 1205092608
Community Bridges, Inc. is a Substance Abuse Rehabilitation Facility in Payson, 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 1205092608. The last update date is 2023-01-13.
Community Bridges, Inc.'s current location address is 803 W Main St Ste C, Payson, Arizona. You can contact this provider via phone number 9284680022 and fax number 9284680044. The mailing address for Community Bridges, Inc. is 803 W Main St Ste C, Payson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Bridges, Inc. |
|---|---|
| Address | 803 W Main St Ste C, Payson, Arizona |
| Phone Number | 9284680022 |
| Fax Number | 9284680044 |
| 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 | 1205092608 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2023-01-13 |
Provider Mailing Address Detail
| Address | 803 W Main St Ste C |
|---|---|
| City | Payson |
| State | Arizona (AZ) |
| Post Code | 855414993 |
| Phone Number | 9284680022 |
| Fax Number | 9284680044 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 252714 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252714 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Community Bridges, Inc. by the Centers for Medicare & Medicaid Services?
The Community Bridges, Inc. has been assigned the NPI (National Provider Identifier) 1205092608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Community Bridges, Inc. is geographically located?
The Community Bridges, Inc. is physically situated at the following location: 803 W Main St Ste C, Payson, AZ, 855414993.
What is Community Bridges, Inc.'s area of expertise and its corresponding taxonomy classification?
The Community Bridges, Inc.'s field of specialization is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Community Bridges, Inc. receive its 1205092608 assignment from the Centers for Medicare & Medicaid Services?
The Community Bridges, Inc. was assigned its 1205092608 by the Centers for Medicare & Medicaid Services on 2008-08-05.
When was the information pertaining to Community Bridges, Inc. most recently updated or revised?
The details related to Community Bridges, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-01-13.