COMMUNITY BRIDGES, INC (NPI# 1093960304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093960304 |
Entity Type | Organization |
Organization Name | COMMUNITY BRIDGES, INC |
Other Organization Name | GLOBE STABILIZATION AND RECOVERY UNIT |
Practice Address |
5734 East Hope Drive Suite 2 Globe AZ 85501 |
Mailing Address |
1855 W. Baseline Rd Suite 101 Mesa AZ 85202-9098 |
Practice Telephone | 9284252415 |
Practice Fax Number | 9284252464 |
Mailing Telephone | 4808317566 |
Mailing Fax Number | 4809627671 |
Enumeration Date | 2008-12-01 |
Last Update Date | 2015-02-19 |
Authorized Official Name | MR. JOHN F HOGEBOOM (VP/COO) |
Authorized Official Telephone | 4808317566 |
Authorized Official Credential | LISAC |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY BRIDGES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | OTC6025 | AZ | Agencies |
N | 251J00000X | Nursing Care | OTC6025 | AZ | Agencies |
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OTC6025 | AZ | Ambulatory Health Care Facilities |
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
OTC6025 | AZ | Ambulatory Health Care Facilities |
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OTC6025 | AZ | Ambulatory Health Care Facilities |
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
OTC6025 | AZ | Ambulatory Health Care Facilities |
N | 291U00000X | Clinical Medical Laboratory | OTC6025 | AZ | Laboratories |
N | 343900000X | Non-emergency Medical Transport (VAN) | OTC6025 | AZ | Transportation Services |
Y | 251B00000X | Case Management | OTC6025 | AZ | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 388723 | 05 | |
AZ | MEDICARE PTAN | Z145164 | 01 |
Other Name | Type Code |
---|---|
Globe Stabilization And Recovery Unit | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402417 | Community Bridges, Inc | Counselor | 720 County St, New Bedford, MA 02740-5405 | 2020-09-18 |
1821345752 | Community Bridges, Inc | Clinical Medical Laboratory | 5734 East Hope Lane, Globe, AZ 85501 | 2012-08-09 |
1588920714 | Community Bridges, Inc | Clinical Medical Laboratory | 732 W 4th St, Benson, AZ 85602-6435 | 2012-04-02 |
1033475264 | Community Bridges, Inc | Clinical Medical Laboratory | 993 Hermosa Dr, Holbrook, AZ 86025-2036 | 2012-04-02 |
1699041046 | Community Bridges, Inc | Clinical Medical Laboratory | 554-1 S Bellview, Mesa, AZ 85204-2504 | 2012-03-30 |
1548536378 | Community Bridges, Inc | Clinical Medical Laboratory | 1012 S Stapley Dr Ste 117, Bldg 5, Suite 117, Mesa, AZ 85204-4272 | 2012-03-27 |
1659662468 | Community Bridges, Inc | Case Management | 358 E Javelina Ave, Mesa, AZ 85210-6207 | 2011-04-27 |
1922304310 | Community Bridges, Inc | Case Management | 1012 S Stapley Dr, Bldg 5, Mesa, AZ 85204-4270 | 2011-02-01 |
1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
1821328113 | Community Bridges, Inc | Community/Behavioral Health | 3250 B East 40th Street, Yuma, AZ 85365 | 2010-01-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | COMMUNITY BRIDGES, INC. | 720 County St., New Bedford, MA 02740 |
System for Award Management (SAM) Entities | COMMUNITY BRIDGES, INCORPORATED | 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751 |
Street Address |
5734 EAST HOPE DRIVE SUITE 2 |
City | GLOBE |
State | AZ |
Zip Code | 85501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558802884 | Mary Beth Patterson | Pharmacist | 100 S Ragus Rd, Globe, AZ 85501 | 2017-03-20 |
1255873402 | Christopher Sessions | Physician Assistant | 5880 N Hospital Drive, Globe, AZ 85501 | 2016-11-04 |
1235681156 | Michelle Pettitt | Naturopath | 138 S. Broad Street, Globe, AZ 85501 | 2016-10-26 |
1790154664 | Ryan Bradley | Physician Assistant | 5880 N Hospital Dr, Globe, AZ 85501 | 2015-09-21 |
1417297052 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 2250 Hwy 60, Suite I, Globe, AZ 85501 | 2013-02-19 |
1528307964 | William G Sypult | Internal Medicine | 8036 South Cherokee Drive, Globe, AZ 85501 | 2013-02-05 |
1821345752 | Community Bridges, Inc | Clinical Medical Laboratory | 5734 East Hope Lane, Globe, AZ 85501 | 2012-08-09 |
1417218876 | Canyonlands Community Health Care | Clinic/Center | 5860 South Hospital Drive, Ste 102, Globe, AZ 85501 | 2012-06-01 |
1770841215 | Cv Ob Gyn Women's Healthcare | Obstetrics & Gynecology | 5882 S Hospital Drive, Suite 1, Globe, AZ 85501 | 2012-05-02 |
1235420993 | Jennifer Lyn Davis | Licensed Vocational Nurse | 1300 South Street, Globe, AZ 85501 | 2011-04-28 |
Find all providers in zip 85501 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
1659988210 | Vision Lakes Consulting Group | Case Management | 21352 N Denton Dr, Maricopa, AZ 85138-9559 | 2020-09-28 |
1518574292 | K Anb B Services, LLC | Case Management | 23837 W Wayland Dr, Buckeye, AZ 85326-7020 | 2020-09-28 |
1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
1386267797 | Beacon Wellness Center LLC | Case Management | 21258 E Rittenhouse Rd Ste 104, Queen Creek, AZ 85142-9340 | 2020-05-20 |
1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
1508410903 | Sonoran Life Coaching, LLC | Case Management | 6424 E Greenway Pkwy Ste 101, Scottsdale, AZ 85254-2045 | 2019-07-25 |
1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.