Community Bridges, Inc. is a Non-emergency Medical Transport (VAN) based in Mesa, AZ. Community Bridges, Inc. practices in Globe, AZ. The NPI Number for Community Bridges, Inc. is 1649425950 and holds a License No. SABH 6693 (Arizona).
The current practice location address for Community Bridges, Inc. is 5734 Hope Ln, Globe, AZ and can be reached out via phone at 928-425-2415 and via fax at 928-425-2464.
Location: 5734 Hope Ln, Globe, AZ, 85202-9098
Provider Profile Details
NPI Number
1649425950
Provider Name
Community Bridges, Inc.
Credential
Provider Entity Type
Organization
Address
5734 Hope Ln, Globe, AZ, 85202-9098
Phone Number
928-425-2415
Fax Number
928-425-2464
Provider Enumeration Date
12/01/2008
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z145164 | 01 | AZ | MEDICARE PTAN |
| 378626 | 05 | AZ |
Provider Business Practice Location Address Details
Address
5734 Hope Ln
City
State
Zip
85501
Phone Number
928-425-2415
Fax Number
928-425-2464
Provider Business Mailing Address Details
Address
5734 Hope Ln
City
State
Zip
85501
Phone Number
928-425-2415
Fax Number
928-425-2464
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
SABH 6693 (Arizona)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
BH5370 (Arizona)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
SABH 6693 (Arizona)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
SABH 6693 (Arizona)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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