Payson Outpatient Services Center
LBN: Community Bridges, Inc
Payson Outpatient Services Center is an health care organization with primary practice located at 803 W Main St , Payson AZ 85541-4993. The organization recently has 10 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Rural Health, Laboratories / Clinical Medical Laboratory, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Community/Behavioral Health is the primary health care specialty.
Community Bridges, Inc can be contacted via phone (928) 468-0022, or through Hogeboom, John F via phone (480) 831-7566.
Contact Information
Primary practice address
803 W Main St
Payson AZ 85541-4993
Phone: (928) 468-0022
Fax: (928) 468-0044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | OTC6017 | Arizona |
| Agencies / Nursing Care | 251J00000X | OTC6017 | Arizona |
| Agencies / Community/Behavioral Health | 251S00000X | OTC6017 | Arizona |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | OTC6017 | Arizona |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | OTC6017 | Arizona |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | OTC6017 | Arizona |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | OTC6017 | Arizona |
| Laboratories / Clinical Medical Laboratory | 291U00000X | OTC6017 | Arizona |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | OTC6017 | Arizona |
Profile Details
| NPI number | 1548416514 |
|---|---|
| LBN Legal business name | Community Bridges, Inc |
| DBA Doing business as | Payson Outpatient Services Center |
| Authorized official | Hogeboom, John F LISAC |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 11th, 2008 |
| 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 | 1548416514 | NPPES |
| Arizona | Other | Z145164 | MEDICARE PTAN |
| Arizona | MEDICAID | 357379 | MEDICARE PTAN |
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