COMMUNITY BRIDGES, INC. (NPI# 1972099836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972099836 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | DODGE OUTPATIENT SERVICE CENTER |
| Practice Address |
2950 N Dodge Blvd Ste A Tucson AZ 85716-2012 |
| Mailing Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | JOHN HOGEBOOM (DEPUTY CEO) |
| Authorized Official Telephone | 4808317566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | OTC9000 | AZ | Agencies |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OTC9000 | AZ | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OTC9000 | AZ | Ambulatory Health Care Facilities |
| N | 291U00000X | Clinical Medical Laboratory | OTC9000 | AZ | Laboratories |
| N | 343900000X | Non-emergency Medical Transport (VAN) | OTC9000 | AZ | Transportation Services |
| Y | 251B00000X | Case Management | OTC9000 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | OTC9000 | 01 |
| Other Name | Type Code |
|---|---|
| Dodge Outpatient Service 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 |
| 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 |
| 1003102120 | Community Bridges, Inc. | Clinical Medical Laboratory | 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122-2023 | 2011-06-27 |
| 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 |
2950 N DODGE BLVD STE A |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| 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 |
|---|---|---|---|---|
| 1801314224 | Rescare Residential Services Arizona, LLC | Case Management | 1200 N El Dorado Pl Ste 300, Tucson, AZ 85715-4679 | 2017-09-06 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1134491293 | Cuestas -thompson Incorporated | Case Management | 940 N Longfellow Ave, Tucson, AZ 85711-1030 | 2012-02-06 |
| 1932404225 | La Frontera Center, Inc. | Case Management | 1082 E Ajo Way Ste 100, Tucson, AZ 85713-5051 | 2011-01-18 |
| 1023320751 | La Frontera Center, Inc. | Case Management | 1141 W Grant Rd, Suite 100, Tucson, AZ 85705-5354 | 2010-07-10 |
| 1154554988 | La Frontera Center, Inc. | Case Management | 410 S 6th Ave, Tucson, AZ 85701-2312 | 2009-08-27 |
| 1841422870 | Alternatives In Home Care | Case Management | 3875 N Country Club Rd, # 220, Tucson, AZ 85716-1020 | 2009-08-08 |
| 1497994651 | Arizona Prn, LLC | Case Management | 6103 E Grant Rd, Tucson, AZ 85712-5880 | 2009-02-11 |
| 1316183734 | Cope Community Services, Inc. | Case Management | 732 N Stone Ave, Tucson, AZ 85705-8351 | 2009-01-07 |
| 1073767984 | Pascua Yaqui Tribe | Case Management | 4960 W Vai Sevoi, Tucson, AZ 85757-9073 | 2008-11-05 |
| Find all providers in TUCSON | ||||
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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.