COMMUNITY BRIDGES, INC / WINSLOW OUTPATIENT SERVICES CENTER


Address: 110 E Second St, Winslow, AZ 86047-3704
Phone: 9282891222

COMMUNITY BRIDGES, INC / WINSLOW OUTPATIENT SERVICES CENTER (NPI# 1851698666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851698666
Entity Type Organization
Organization Name COMMUNITY BRIDGES, INC / WINSLOW OUTPATIENT SERVICES CENTER
Other Organization Name WINSLOW OUTPATIENT SERVICES CENTER
Practice Address 110 E Second St
Winslow
AZ 86047-3704
Mailing Address 1855 W. Baseline Rd.
Suite 101
Mesa
AZ 85202-9098
Practice Telephone 9282891222
Practice Fax Number 9282891122
Mailing Telephone 4808317566
Mailing Fax Number 4809627671
Enumeration Date 2011-02-15
Last Update Date 2015-02-19
Authorized Official Name MR. JOHN HOGEBOOM (VP/COO)
Authorized Official Telephone 4808317566
Authorized Official Credential LISAC
Is Organization Subpart Y
Parent Organization Name COMMUNITY BRIDGES, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health OTC6949 AZ Agencies
N 251J00000X Nursing Care OTC6949 AZ Agencies
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
OTC6949 AZ Ambulatory Health Care Facilities
N 261QH0100X Clinic/Center
Specialization: Health Service
OTC6949 AZ Ambulatory Health Care Facilities
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
OTC6949 AZ Ambulatory Health Care Facilities
N 261QR1300X Clinic/Center
Specialization: Rural Health
OTC6949 AZ Ambulatory Health Care Facilities
N 291U00000X Clinical Medical Laboratory OTC6949 AZ Laboratories
N 343900000X Non-emergency Medical Transport (VAN) OTC6949 AZ Transportation Services
Y 251B00000X Case Management BH-3829 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ MEDICARE PTAN Z145164 01
AZ 599812 05

Other Provider/Organization Names

Other Name Type Code
Winslow Outpatient Services Center Doing Business As Name - Organization

Office Location

Street Address 110 E SECOND ST
City WINSLOW
State AZ
Zip Code 86047-3704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770849903 Community Bridges, Inc Clinical Medical Laboratory 110 E Second St, Winslow, AZ 86047-3704 2012-04-02
1366749491 Nancy Carol Stehle Social Worker 110 E Second St, Winslow, AZ 86047-3704 2011-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568097350 Kalp Juthani Student in an Organized Health Care Education/Training Program 500 N Indiana Avenue, Winslow, AZ 86047 2020-03-11
1104461268 Dental Innovations-winslow Clinic/Center 722 Mike's Pike Street, #101, Winslow, AZ 86047 2019-11-13
1417505611 Association of Indigenous Pioneers, Incorporated (aipi) Non-emergency Medical Transport (VAN) Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 2019-08-30
1790347573 Wilfred Shirley Counselor 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 2019-07-02
1871055624 Mark Ashcraft Student in an Organized Health Care Education/Training Program Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 2019-04-02
1568928521 Winslow Indian Health Care Center, Inc Pharmacy 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 2019-02-14
1659837615 Winslow Indian Health Care Center, Inc Pharmacy 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 2019-02-14
1750809836 Grassroots Medical Supply Durable Medical Equipment & Medical Supplies Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 2017-09-08
1538697396 Janell K Dickson Counselor 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 2017-05-24
1235599143 Dennis Peters Veterinarian 4301 W Highway 66, Winslow, AZ 86047 2016-03-04
Find all providers in zip 86047

Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194933655 Town of Winslow Case Management 55 Benton Ave, Winslow, ME 04901 2007-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477151546 Community 43 LLC Case Management 4343 N 16th St, Phoenix, AZ 85016-5338 2020-10-12
1306443197 Da Homes LLC Case Management 8026 S. 24th Way, Phoenix, AZ 85042 2020-10-05
1659988210 Vision Lakes Consulting Group Case Management 21352 N Denton Dr, Maricopa, AZ 85138-9559 2020-09-28
1518574292 K Anb B Services, LLC Case Management 23837 W Wayland Dr, Buckeye, AZ 85326-7020 2020-09-28
1265057962 Semper Fidelis Behavioral Health Care, LLC Case Management 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 2020-06-09
1386267706 The Adam Dixon Perseverance Foundation Case Management 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 2020-05-20
1386267797 Beacon Wellness Center LLC Case Management 21258 E Rittenhouse Rd Ste 104, Queen Creek, AZ 85142-9340 2020-05-20
1861031486 Maggie's Place Case Management 4001 N 30th St, Phoenix, AZ 85016-6810 2019-12-30
1508410903 Sonoran Life Coaching, LLC Case Management 6424 E Greenway Pkwy Ste 101, Scottsdale, AZ 85254-2045 2019-07-25
1568014397 Beia's Place Case Management 7225 S 2nd Gln, Phoenix, AZ 85041-7142 2019-07-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City WINSLOW
Zip Code 86047

Improve Information

Please comment or provide details below to improve the information on COMMUNITY BRIDGES, INC / WINSLOW OUTPATIENT SERVICES CENTER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches