Organization
COMMUNITY BRIDGES, INC.
Active
Organization
COMMUNITY BRIDGES, INC.
Active
Other names
Central City Addiction Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F HOGEBOOM LISAC (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization
Contact information
Practice address
2770 E VAN BUREN ST, PHOENIX, AZ 85008-6088
(602) 273-9999
(602) 273-9040
Mailing address
1855 W. BASELINE RD., SUITE 101, MESA, AZ 85202-9098
(480) 831-7566
(480) 831-7563
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
IFBH6374
AZ
261QP2300X
Primary Care Clinic/Center
IFBH6374
AZ
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
IFBH6374
AZ
291U00000X
Clinical Medical Laboratory
IFBH6374
AZ
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
IFBH6374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382935
—
AZ
01
—
Z145163
MEDICARE PTAN
AZ
Enumeration date
04/04/2007
Last updated
01/17/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up