Benson Outpatient Services Center

LBN: Community Bridges, Inc.
Benson Outpatient Services Center is an health care organization with primary practice located at 470 S Ocotillo Ave Ste 1 , Benson AZ 85602-6403. The organization recently has 9 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care, Agencies / Community/Behavioral Health, 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 (480) 831-7566, or through Hogeboom, John F via phone (480) 831-7566.

Contact Information

Primary practice address
470 S Ocotillo Ave Ste 1 Benson AZ 85602-6403
Phone: (480) 831-7566
Fax:
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 OTC6848 Arizona
Agencies / Nursing Care 251J00000X OTC6848 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC6848 Arizona
Ambulatory Health Care Facilities / Health Service 261QH0100X OTC6848 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC6848 Arizona
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X OTC6848 Arizona
Ambulatory Health Care Facilities / Rural Health 261QR1300X OTC6848 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X OTC6848 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X OTC6848 Arizona

Profile Details

NPI number 1659658516
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Benson Outpatient Services Center
Authorized official Hogeboom, John F LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2011
Last updated Jan 2nd, 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 1659658516 NPPES
Arizona MEDICAID 657478

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