Mesa Heritage Clinic
LBN: Community Bridges, Inc.
Mesa Heritage Clinic is an health care organization with primary practice located at 460 N Mesa Dr , Mesa AZ 85201-5973. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care, Laboratories / Clinical Medical Laboratory. Agencies / Community/Behavioral Health is the primary health care specialty.
Community Bridges, Inc. can be contacted via phone (555) 048-0838, or through Hogeboom, John via phone (480) 831-7566.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | OTC8918 | Arizona |
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | OTC8918 | Arizona |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | OTC8918 | Arizona |
| Laboratories / Clinical Medical Laboratory | 291U00000X | OTC8918 | Arizona |
Profile Details
| NPI number | 1124518204 |
|---|---|
| LBN Legal business name | Community Bridges, Inc. |
| DBA Doing business as | Mesa Heritage Clinic |
| Authorized official | Hogeboom, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2018 |
| Last updated | Feb 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124518204 | NPPES |
| Arizona | Other | OTC8918 | ADHS |
| Arizona | MEDICAID | 424605 | ADHS |
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