Bridges

LBN: Bridges Habilitation Services, Inc.
Bridges is an health care organization with primary practice located at 1425 Highway 150 S Ste 2 , Evanston WY 82930-5377. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bridges Habilitation Services, Inc. can be contacted via phone (307) 789-0664, or through Canen, David M via phone (307) 789-0664.

Contact Information

Primary practice address
1425 Highway 150 S Ste 2 Evanston WY 82930-5377
Phone: (307) 789-0664
Fax: (307) 222-0614
Website:
Map and Directions
Authorized official contact:
Name: Canen, David M
Phone: (307) 789-0664

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1699299313
LBN Legal business name Bridges Habilitation Services, Inc.
DBA Doing business as Bridges
Authorized official Canen, David M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2017
Last updated Aug 3rd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699299313 NPPES
Wyoming MEDICAID 115726400

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