Winslow Outpatient Services Center

LBN: Community Bridges, Inc.
Winslow Outpatient Services Center is an health care organization with primary practice located at 110 E Second St , Winslow AZ 86047-3704. The organization recently has 10 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Rural Health, Laboratories / Clinical Medical Laboratory, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Community/Behavioral Health is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (928) 289-1222, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
110 E Second St Winslow AZ 86047-3704
Phone: (928) 289-1222
Fax: (928) 289-1122
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John LISAC
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X BH-3829 Arizona
Agencies / Nursing Care 251J00000X OTC6949 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC6949 Arizona
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X OTC6949 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC6949 Arizona
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X OTC6949 Arizona
Ambulatory Health Care Facilities / Rural Health 261QR1300X OTC6949 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X OTC6949 Arizona
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X OTC6949 Arizona

Profile Details

NPI number 1851698666
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Winslow Outpatient Services Center
Authorized official Hogeboom, John LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2011
Last updated Feb 14th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851698666 NPPES
Arizona Other Z145164 MEDICARE PTAN
Arizona MEDICAID 333246 MEDICARE PTAN

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