Holbrook Outpatient Services Center

LBN: Community Bridges, Inc.
Holbrook Outpatient Services Center is an health care organization with primary practice located at 993 Hermosa Drive Suite A, Holbrook AZ 86025. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (928) 524-1151, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
993 Hermosa Drive Suite A Holbrook AZ 86025
Phone: (928) 524-1151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 7809 Arizona
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1760933154
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Holbrook Outpatient Services Center
Authorized official Hogeboom, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2016
Last updated Apr 10th, 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 1760933154 NPPES
Arizona Other OTC7166 LICENSE

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