COMMUNITY BRIDGES, INC (NPI# 1881836807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881836807 |
Entity Type | Organization |
Organization Name | COMMUNITY BRIDGES, INC |
Other Organization Name | WINSLOW STABILIZATION AND RECOVERY UNIT |
Practice Address |
105 N Cottonwood Ave Winslow AZ 86047-4011 |
Mailing Address |
1855 W Baseline Rd Suite 101 Mesa AZ 85202-9000 |
Practice Telephone | 9282893151 |
Practice Fax Number | 9282892444 |
Mailing Telephone | 4808317566 |
Mailing Fax Number | 4809627671 |
Enumeration Date | 2009-04-06 |
Last Update Date | 2015-02-19 |
Authorized Official Name | MR. JOHN F HOGEBOOM (VP/COO) |
Authorized Official Telephone | 4808317566 |
Authorized Official Credential | LISAC |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY BRIDGES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SABH6349 | AZ | Ambulatory Health Care Facilities |
N | 291U00000X | Clinical Medical Laboratory | SABH6349 | AZ | Laboratories |
N | 343900000X | Non-emergency Medical Transport (VAN) | SABH6349 | AZ | Transportation Services |
Y | 324500000X | Substance Abuse Rehabilitation Facility | SABH6349 | AZ | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 422788 | 05 |
Other Name | Type Code |
---|---|
Winslow Stabilization and Recovery Unit | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402417 | Community Bridges, Inc | Counselor | 720 County St, New Bedford, MA 02740-5405 | 2020-09-18 |
1821345752 | Community Bridges, Inc | Clinical Medical Laboratory | 5734 East Hope Lane, Globe, AZ 85501 | 2012-08-09 |
1588920714 | Community Bridges, Inc | Clinical Medical Laboratory | 732 W 4th St, Benson, AZ 85602-6435 | 2012-04-02 |
1033475264 | Community Bridges, Inc | Clinical Medical Laboratory | 993 Hermosa Dr, Holbrook, AZ 86025-2036 | 2012-04-02 |
1699041046 | Community Bridges, Inc | Clinical Medical Laboratory | 554-1 S Bellview, Mesa, AZ 85204-2504 | 2012-03-30 |
1548536378 | Community Bridges, Inc | Clinical Medical Laboratory | 1012 S Stapley Dr Ste 117, Bldg 5, Suite 117, Mesa, AZ 85204-4272 | 2012-03-27 |
1659662468 | Community Bridges, Inc | Case Management | 358 E Javelina Ave, Mesa, AZ 85210-6207 | 2011-04-27 |
1922304310 | Community Bridges, Inc | Case Management | 1012 S Stapley Dr, Bldg 5, Mesa, AZ 85204-4270 | 2011-02-01 |
1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
1821328113 | Community Bridges, Inc | Community/Behavioral Health | 3250 B East 40th Street, Yuma, AZ 85365 | 2010-01-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | COMMUNITY BRIDGES, INC. | 720 County St., New Bedford, MA 02740 |
System for Award Management (SAM) Entities | COMMUNITY BRIDGES, INCORPORATED | 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751 |
Street Address |
105 N COTTONWOOD AVE |
City | WINSLOW |
State | AZ |
Zip Code | 86047-4011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508122078 | Community Bridges, Inc | Clinical Medical Laboratory | 105 N Cottonwood Ave, Winslow, AZ 86047-4011 | 2012-04-09 |
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 Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417128265 | Na'nizhoozhi Center, Inc | Substance Abuse Rehabilitation Facility | 105 Cottonwood Ave, Winslow, AZ 86047 | 2008-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073920 | Tusa Mental Health Services LLC | Substance Abuse Rehabilitation Facility | 11570 East Cornville Road, Cornville, AZ 86325 | 2020-11-03 |
1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1932726361 | Northstar Homecare LLC | Substance Abuse Rehabilitation Facility | 5239 S 33rd Dr, Phoenix, AZ 85041-7411 | 2020-07-01 |
1891312542 | Semper Fidelis Behavioral Health Care, LLC | Substance Abuse Rehabilitation Facility | 8020 N 17th Dr, Phoenix, AZ 85021-5217 | 2020-06-29 |
1558988246 | Cmj Recovery Az LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 | 2020-06-29 |
1780201772 | Pinnacle Peak Recovery, LLC | Substance Abuse Rehabilitation Facility | 8070 E Morgan Trl Ste 125, Scottsdale, AZ 85258-1228 | 2020-06-25 |
1629692025 | A Home 4 U Transitional Housing | Substance Abuse Rehabilitation Facility | 18474 E Kingbird Dr, Queen Creek, AZ 85142-5118 | 2020-06-01 |
1568085215 | Scottsdale Recovery II, LLC | Substance Abuse Rehabilitation Facility | 10227 N Scottsdale Road, Scottsdale, AZ 85253-8526 | 2020-05-28 |
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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.