Ccarc Crisis

LBN: Community Bridges, Inc.
Ccarc Crisis 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 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care, Laboratories / Clinical Medical Laboratory, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Nursing Care is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (602) 273-9999, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
2770 E Van Buren St Rooms A, B, D Phoenix AZ 85008-6088
Fax:
Website:
Authorized official contact:
Name: Hogeboom, John

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Nursing Care 251J00000X 213286 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X 213286 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 213286 Arizona

Profile Details

NPI number 1891288049
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Ccarc Crisis
Authorized official Hogeboom, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2018
Last updated Jul 14th, 2022 - 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 1891288049 NPPES
Arizona MEDICAID 213286

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