Community Bridges, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Tucson, AZ
NPI 1912445669 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1912445669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- COMMUNITY BRIDGES, INC.
- Practice address
- 250 S Toole Ave Ste a
Tucson, AZ 85701-1814 - Phone
- (480) 831-7566
- Fax
- (480) 831-7576
- NPI assigned
- Feb 2, 2017
- Organization subpart
- No
Authorized official
- Name
- John Hogeboom, LISAC
- Title
- President/Ceo
- Phone
- (480) 831-7566
Corporate family (same tax ID) 18
Practitioners 8
-
Adnan Celjo, M.D.
-
Rose Lopez, NP
-
Annette Lusko, D.O
-
Daniel Opiyo Maduma, DNP
-
Brittney Rice, MSN, PMHNP-BC
-
John-Mark Rogers, FNP-BC
-
Marla Jean Van Tassell, NURSE PRACTITIONER
National Provider Directory
- Tax ID family
- Community Bridges Inc
Locations
250 S Toole Ave
Tucson, AZ 85701
Phone (520) 323-1312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | IFBH8025 | AZ | |
| Substance Abuse Rehabilitation Facility | 324500000X | Yes | ||
| Non-emergency Medical Transport (VAN) | 343900000X | IFBH8025 |
Addresses
Primary practice location
250 S Toole Ave Ste a
Tucson, AZ 85701-1814
Mailing address
1855 W Baseline Rd
Suite, 101
Mesa, AZ 85202-9000
Phone (480) 831-7566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IFBH8025 | Other | AZ | ADHS |
| 242445 | Other | AHCCCS |
Other names
- Toole Inpatient
Other providers in Tucson, AZ
- Community Bridges, Inc.
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- Community Bridges, Inc.
- Community Bridges, Inc.
- Community Health Systems
- Community Intervention Assciates, Inc
- Community Intervention Assciates, Inc
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All providers in Tucson, AZ · Substance Abuse Rehabilitation Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.