Dodge Detoxification Center
LBN: Community Bridges, Inc.
Dodge Detoxification Center is an health care organization with primary practice located at 2502 N Dodge Blvd Suite 190, Tucson AZ 85716-2671. The organization recently has 3 registered licenses in different health care specialties including Agencies / Nursing Care, Laboratories / Clinical Medical Laboratory, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Nursing Care is the primary health care specialty.
Community Bridges, Inc. can be contacted via phone (520) 323-1309, or through Hogeboom, John via phone (480) 831-7566.
Contact Information
Primary practice address
2502 N Dodge Blvd Suite 190
Tucson AZ 85716-2671
Phone: (520) 323-1309
Fax: (520) 323-1315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | IFBH7808 | Arizona |
| Laboratories / Clinical Medical Laboratory | 291U00000X | IFBH7808 | Arizona |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | IFBH7808 | Arizona |
Profile Details
| NPI number | 1215487384 |
|---|---|
| LBN Legal business name | Community Bridges, Inc. |
| DBA Doing business as | Dodge Detoxification Center |
| Authorized official | Hogeboom, John LISAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2016 |
| Last updated | Oct 12th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215487384 | NPPES |
| Arizona | Other | IFBH7808 | ADHS |
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