Organization
COMMUNITY BRIDGES, INC.
Active
Parent organization
COMMUNITY BRIDGES, INC.
Other names
Toole Expedited Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY BRIDGES, INC.
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
250 S TOOLE AVE STE C, TUCSON, AZ 85701-1814
(520) 323-1312
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238225
—
AZ
Enumeration date
04/27/2021
Last updated
07/14/2022
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