Bridges

LBN: Bridges Habilitation Services, Inc.
Bridges is an health care organization with primary practice located at 400 S Kendrick Ave Suite 201D, Gillette WY 82716-3848. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Bridges Habilitation Services, Inc. can be contacted via phone (307) 685-7105, or through Canen, David M via phone (307) 789-0664.

Contact Information

Primary practice address
400 S Kendrick Ave Suite 201D Gillette WY 82716-3848
Phone: (307) 685-7105
Fax: (307) 222-0614
Website:
Map and Directions
Authorized official contact:
Name: Canen, David M
Phone: (307) 789-0664

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1710392220
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 Jun 23rd, 2014
Last updated Jun 23rd, 2014 - about 10 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 1710392220 NPPES
Wyoming MEDICAID 1245305804

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