Central City Addiction Recovery Center
LBN: Community Bridges, Inc.
Central City Addiction Recovery Center is an health care organization with primary practice located at 2770 E Van Buren St , Phoenix AZ 85008-6088. The organization recently has 6 registered licenses in different health care specialties including Agencies / Nursing Care, Ambulatory Health Care Facilities / Primary Care, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Community Bridges, Inc. can be contacted via phone (602) 273-9999, or through Hogeboom, John F via phone (480) 831-7566.
Contact Information
Primary practice address
2770 E Van Buren St
Phoenix AZ 85008-6088
Phone: (602) 273-9999
Fax: (602) 273-9040
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Nursing Care | 251J00000X | IFBH6374 | Arizona |
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | IFBH6374 | Arizona |
Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X | IFBH6374 | Arizona |
Laboratories / Clinical Medical Laboratory | 291U00000X | IFBH6374 | Arizona |
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | ||
Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | IFBH6374 | Arizona |
Profile Details
NPI number | 1295857084 |
---|---|
LBN Legal business name | Community Bridges, Inc. |
DBA Doing business as | Central City Addiction Recovery Center |
Authorized official | Hogeboom, John F LISAC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 4th, 2007 |
Last updated | Jan 17th, 2023 - about 2 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 | 1295857084 | NPPES |
Arizona | Other | Z145163 | MEDICARE PTAN |
Arizona | MEDICAID | 382935 | MEDICARE PTAN |
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