Dodge Outpatient Service Center

LBN: Community Bridges, Inc.
Dodge Outpatient Service Center is an health care organization with primary practice located at 2950 N Dodge Blvd Ste A , Tucson AZ 85716-2012. 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 / Clinic/Center, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Primary Care, 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 via phone (480) 831-7566.

Contact Information

Primary practice address
2950 N Dodge Blvd Ste A Tucson AZ 85716-2012
Phone: (480) 831-7566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X OTC9000 Arizona
Agencies / Nursing Care 251J00000X OTC9000 Arizona
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC9000 Arizona
Ambulatory Health Care Facilities / Primary Care 261QP2300X OTC9000 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X OTC9000 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X OTC9000 Arizona

Profile Details

NPI number 1972099836
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Dodge Outpatient Service Center
Authorized official Hogeboom, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2018
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972099836 NPPES
Arizona Other OTC9000 ADHS

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