COMMUNITY BRIDGES, INC. (NPI# 1659658516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659658516 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | BENSON OUTPATIENT SERVICES CENTER |
| Practice Address |
470 S Ocotillo Ave Benson AZ 85602-6403 |
| Mailing Address |
1855 W Baseline Rd Suite 101 Mesa AZ 85202-9000 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | JOHN F HOGEBOOM (VP/CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4808317566 |
| Authorized Official Credential | LISAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | OTC6848 | AZ | Agencies |
| N | 251J00000X | Nursing Care | OTC6848 | AZ | Agencies |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OTC6848 | AZ | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
OTC6848 | AZ | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OTC6848 | AZ | Ambulatory Health Care Facilities |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
OTC6848 | AZ | Ambulatory Health Care Facilities |
| N | 291U00000X | Clinical Medical Laboratory | OTC6848 | AZ | Laboratories |
| N | 343900000X | Non-emergency Medical Transport (VAN) | OTC6848 | AZ | Transportation Services |
| Y | 251B00000X | Case Management | OTC6848 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 657478 | 05 |
| Other Name | Type Code |
|---|---|
| Benson Outpatient Services Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417439936 | Community Bridges, Inc. | Clinical Medical Laboratory | 250 S Toole Ave Ste 110, Tucson, AZ 85701-1814 | 2018-08-31 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
| 1831678721 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1972099836 | Community Bridges, Inc. | Nursing Care | 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 | 2018-07-03 |
| 1285127043 | Community Bridges, Inc. | Clinical Medical Laboratory | 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205 | 2018-06-07 |
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1184136400 | Community Bridges, Inc. | Psychiatric Residential Treatment Facility | 824 N 99th Ave Ste 105, Avondale, AZ 85323-5327 | 2017-10-26 |
| 1568986560 | Community Bridges, Inc. | Case Management | 824 N 99th Ave Ste 108, Avondale, AZ 85323-5327 | 2017-08-01 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1205115631 | Community Bridges, Inc. | Community/Behavioral Health | 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 | 2011-08-16 |
| 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 |
470 S OCOTILLO AVE |
| City | BENSON |
| State | AZ |
| Zip Code | 85602-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659369569 | Southeastern Arizona Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2005-10-13 |
| 1912161654 | Bonnie Bell | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
| 1154585818 | Linda Groom | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
| 1932363678 | Dawn Barrett | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
| 1881858538 | Marianne Caruso | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
| 1003070772 | Philip Schneider | Registered Nurse | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-07-11 |
| 1396919346 | Constance L Slay | Nurse Practitioner | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2008-04-19 |
| 1144394263 | Michael J Bruwer | Psychiatry & Neurology | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
| 1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
| 1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
| 1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
| 1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
| 1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
| 1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
| 1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
| 1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
| Find all providers in zip 85602 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 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.