Lighthouse
LBN: Community Bridges, Inc
Lighthouse is an health care organization with primary practice located at 3250 E 40Th St Room B, Yuma AZ 85365-7994. The organization recently has 6 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Community Bridges, Inc can be contacted via phone (928) 341-4220, or through Hogeboom, John F via phone (480) 831-7566.
Contact Information
Primary practice address
3250 E 40Th St Room B
Yuma AZ 85365-7994
Phone: (928) 341-4220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | BH-3480 | Arizona |
| Laboratories / Clinical Medical Laboratory | 291U00000X | BH-3480 | Arizona |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | BH-3480 | Arizona |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | BH-3480 | Arizona |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | BH-3480 | Arizona |
Profile Details
| NPI number | 1861722175 |
|---|---|
| LBN Legal business name | Community Bridges, Inc |
| DBA Doing business as | Lighthouse |
| Authorized official | Hogeboom, John F LISAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2010 |
| Last updated | Jan 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861722175 | NPPES |
| Arizona | MEDICAID | 488183 | |
| Arizona | Other | Z148077 |
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