Payson Outpatient Service Center- 2

LBN: Community Bridges, Inc.
Payson Outpatient Service Center- 2 is an health care organization with primary practice located at 803 W Main St , Payson AZ 85541-4993. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, 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 (480) 831-7566, or through Hoegeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
803 W Main St Payson AZ 85541-4993
Phone: (480) 831-7566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hoegeboom, John LISAC
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X OTC7954 Arizona
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Laboratories / Clinical Medical Laboratory 291U00000X OTC7954 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X OTC7954 Arizona

Profile Details

NPI number 1548709173
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Payson Outpatient Service Center- 2
Authorized official Hoegeboom, John LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2017
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548709173 NPPES
Arizona Other OTC7954 ADHS

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