Plaza Outpatient Services Center

LBN: Community Bridges, Inc.
Plaza Outpatient Services Center is an health care organization with primary practice located at 2502 N Dodge Blvd Suite 190, Tucson AZ 85716-2671. 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 / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Laboratories / Clinical Medical Laboratory, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Case Management is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (520) 323-1309, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
2502 N Dodge Blvd Suite 190 Tucson AZ 85716-2671
Phone: (520) 323-1309
Fax: (520) 323-1315
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John LISAC
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X OTC7807 Arizona
Agencies / Nursing Care 251J00000X OTC7807 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC7807 Arizona
Ambulatory Health Care Facilities / Health Service 261QH0100X OTC7807 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC7807 Arizona
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X OTC7807 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X OTC7807 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X OTC7807 Arizona

Profile Details

NPI number 1740737196
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Plaza Outpatient Services Center
Authorized official Hogeboom, John LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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 1740737196 NPPES
Arizona Other OTC7807 ADHS

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