Cbi - Encompass Fredonia Outpatient
LBN: Community Bridges, Inc.
Cbi - Encompass Fredonia Outpatient is an health care organization with primary practice located at 170 North Main Street , Fredonia AZ 86022. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Community Bridges, Inc. can be contacted via phone (480) 831-7566, or through Hogeboom, John via phone (480) 831-7566.
Contact Information
Primary practice address
170 North Main Street
Fredonia AZ 86022
Phone: (480) 831-7566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1790419000 |
|---|---|
| LBN Legal business name | Community Bridges, Inc. |
| DBA Doing business as | Cbi - Encompass Fredonia Outpatient |
| Authorized official | Hogeboom, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2022 |
| Last updated | Apr 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790419000 | NPPES |
| Arizona | Other | OTC11792 | ADHS |
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