Community Bridges, Inc in Payson - Rehabilitation, Substance Use Disorder
Community Bridges, Inc - NPI 1548416514
Community Bridges, Inc is a Rehabilitation, Substance Use Disorder in Payson, Arizona. Community Bridges, Inc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Community Bridges, Inc is 1548416514. The last update date is 2023-02-14.
Community Bridges, Inc's current location address is 803 W Main St, 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, Payson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Bridges, Inc |
|---|---|
| Address | 803 W Main St, Payson, Arizona |
| Phone Number | 9284680022 |
| Fax Number | 9284680044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP/COO |
|---|---|
| Authorized Official Name | Hogeboom F John |
| Credentials | LISAC |
| Telephone Number | 4808317566 |
NPI Number Detail
| NPI Number | 1548416514 |
|---|---|
| Provider Enumeration Date | 2008-08-11 |
| Last Updated Date | 2023-02-14 |
Provider Mailing Address Detail
| Address | 803 W Main St |
|---|---|
| City | Payson |
| State | Arizona (AZ) |
| Post Code | 855414993 |
| Phone Number | 9284680022 |
| Fax Number | 9284680044 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | OTC6017 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z145164 | AZ | MEDICARE PTAN | |
| 357379 | 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) 1548416514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Community Bridges, Inc?
The Community Bridges, Inc is physically situated at 803 W Main St, in the city of Payson, state of AZ, with the postal code 855414993.
What is Community Bridges, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Community Bridges, Inc is Rehabilitation, Substance Use Disorder, and the taxonomy code that classifies this field of practice is 261Qr0405X.
When did Community Bridges, Inc receive its 1548416514 assignment?
The Community Bridges, Inc was assigned its 1548416514 on 2008-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Community Bridges, Inc's details last updated?
The information pertaining to the Community Bridges, Inc, including its address, specialty, and other details, was most recently updated on 2023-02-14.
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