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Organization

COMMUNITY BRIDGES, INC.

Active
Other names
CCARC Crisis
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN HOGEBOOM (PRESIDENT/CEO)
(480) 831-7566
Entity
Organization

Contact information

Practice address
2770 E VAN BUREN ST, ROOMS A, B, D, PHOENIX, AZ 85008-6088
(602) 273-9999
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
(480) 775-2457

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251J00000X
Nursing Care Agency
Primary
213286
AZ
291U00000X
Clinical Medical Laboratory
213286
AZ
343900000X
Non-emergency Medical Transport (VAN)
213286
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213286
AZ
Enumeration date
06/12/2018
Last updated
07/14/2022
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