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 Rooms A, B, D, Phoenix AZ 85008-6088. The organization recently has 8 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, 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 (602) 273-9999, or through Hogeboom, John F via phone (480) 831-7566.

Contact Information

Primary practice address
2770 E Van Buren St Rooms A, B, D Phoenix AZ 85008-6088
Phone: (602) 273-9999
Fax: (602) 225-2409
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John F LISAC
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X OTC6550 Arizona
Agencies / Nursing Care 251J00000X OTC6550 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC6550 Arizona
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X OTC6550 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC6550 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X OTC6550 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X OTC6550 Arizona

Profile Details

NPI number 1649426909
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 Aug 18th, 2008
Last updated Feb 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649426909 NPPES
Arizona MEDICAID 213286

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