COMMUNITY BRIDGES, INC (NPI# 1396001525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396001525 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC |
| Other Organization Name | PAYSON SRU |
| Practice Address |
803 W Main St Payson AZ 85541-4993 |
| Mailing Address |
1855 W Baseline Rd Suite 101 Mesa AZ 85202-9000 |
| Practice Telephone | 9284680022 |
| Mailing Telephone | 4808317566 |
| Mailing Fax Number | 4809627671 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Authorized Official Name | MR. JOHN 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 |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 03D2036600 | AZ | Laboratories |
| Other Name | Type Code |
|---|---|
| Payson SRU | 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 |
803 W MAIN ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190324 | Chad Riley Willis Jr. | Counselor | 803 W Main St, Payson, AZ 85541-4993 | 2018-10-15 |
| 1174019376 | Debra Shewey | Counselor | 803 W Main St, Payson, AZ 85541-4993 | 2018-07-10 |
| 1548709173 | Community Bridges, Inc. | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541-4993 | 2017-02-15 |
| 1912144973 | Marjorie J Strickland | Counselor | 803 W Main St, Payson, AZ 85541-4993 | 2009-01-13 |
| 1548416514 | Community Bridges, Inc | Community/Behavioral Health | 803 W Main St, Payson, AZ 85541-4993 | 2008-08-11 |
| 1205092608 | Community Bridges, Inc. | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548709173 | Community Bridges, Inc. | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541-4993 | 2017-02-15 |
| 1134434251 | Payson Medical Laboratory, Inc | Clinical Medical Laboratory | 1000 Highway 6, Payson, UT 84651-1600 | 2010-08-12 |
| 1881909265 | Ccrmed Inc Corp | Clinical Medical Laboratory | 1000 Highway 6, Payson, UT 84651-1600 | 2010-08-10 |
| 1598079154 | Ccrmed Inc | Clinical Medical Laboratory | 1000 Highway 6, Payson, UT 84651-1600 | 2010-08-05 |
| 1841519733 | Pearl Care Inc | Clinical Medical Laboratory | 1000 Highway 6, Payson, UT 84651-1600 | 2010-05-18 |
| 1205092608 | Community Bridges, Inc. | Clinical Medical Laboratory | 803 W Main St, Payson, AZ 85541 | 2008-08-05 |
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|---|---|---|---|---|
| 1588261804 | Cov19 Plus Testing Laboratory | Clinical Medical Laboratory | 793 N Alma School Rd # D1, Chandler, AZ 85224-3681 | 2020-10-09 |
| 1760089080 | Cov10 Plus Testing Laboratory | Clinical Medical Laboratory | 590 N Alma School Rd Ste 7, Chandler, AZ 85224-4382 | 2020-10-09 |
| 1841807492 | Prn Diagnostics LLC | Clinical Medical Laboratory | 7007 E Main St, Mesa, AZ 85207-8204 | 2020-09-28 |
| 1841803939 | Sochilt Brown | Clinical Medical Laboratory | 41810 N Venture Dr Ste 152, Anthem, AZ 85086-3169 | 2020-08-28 |
| 1043821051 | Spectacular Med LLC | Clinical Medical Laboratory | 9989 N 95th St, Scottsdale, AZ 85258-4596 | 2020-08-12 |
| 1336757780 | Saguaro Health & Security LLC | Clinical Medical Laboratory | 4165 N Craftsman Ct Ste A, Scottsdale, AZ 85251-3863 | 2020-07-21 |
| 1346868452 | Covid Laboratories LLC | Clinical Medical Laboratory | 17727 N 92nd Way, Scottsdale, AZ 85255-6025 | 2020-07-06 |
| 1649890807 | Promed Services LLC | Clinical Medical Laboratory | 6986 E Mary Dr, Tucson, AZ 85730-1713 | 2020-04-17 |
| 1780203638 | Translational Genomics Research Institute | Clinical Medical Laboratory | 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435 | 2020-04-10 |
| 1710512389 | Path Analytics Laboratory LLC | Clinical Medical Laboratory | 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 | 2020-03-04 |
| 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.