DODGE DETOXIFICATION CENTER
NPI 1215487384
Nursing Care in Tucson, AZ

NPI Status: Active since October 12, 2016

Contact Information

2502 N DODGE BLVD
SUITE 190
TUCSON, AZ
ZIP 85716
Phone: (520) 323-1309
Fax: (520) 323-1315

Get Directions Write a Review

  • Organization
  • Nursing Care

About DODGE DETOXIFICATION CENTER

This page provides the complete NPI Profile along with additional information for Dodge Detoxification Center, a provider established in Tucson, Arizona operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1215487384 assigned on October 2016. The practitioner's primary taxonomy code is 251J00000X with license number IFBH7808 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Dodge Detoxification Center. The authorized official of this NPI record is John Hogeboom Lisac (Vp/chief Operating Officer)

NPI
1215487384
Provider Legal Name
COMMUNITY BRIDGES, INC.
Other Organization Name
DODGE DETOXIFICATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2502 N DODGE BLVD SUITE 190 TUCSON, AZ 85716
Location Phone
(520) 323-1309
Location Fax
(520) 323-1315
Mailing Address
1855 W BASELINE RD SUITE 101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2016
Last Update Date
10-12-2016
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
License No.
IFBH7808
License State
AZ
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

IFBH7808 (AZ)
2343900000XTransportation Services

Non-emergency Medical Transport (VAN)

IFBH7808 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN HOGEBOOM LISAC

Authorized Official Title
VP/CHIEF OPERATING OFFICER
Authorized Official Phone
(480) 831-7566

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
IFBH7808OTHER (01)AZADHS

Reviews for DODGE DETOXIFICATION CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215487384, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 8 + 8 + 1 + 4 + 3 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1215487384.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
2502 N DODGE BLVD, SUITE 100
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
2502 N DODGE BLVD, STE. 190
TUCSON, AZ 85716
Psychiatry & Neurology (Psychiatry)
2502 N DODGE BLVD, STE. 190
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
2502 N DODGE BLVD, STE. 190
TUCSON, AZ 85716
Psychiatry & Neurology (Addiction Psychiatry)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Nurse Practitioner
2502 N DODGE BLVD
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
2502 N DODGE BLVD, 190
TUCSON, AZ 85716
Psychiatric Residential Treatment Facility
2502 N DODGE BLVD, SUITE 160
TUCSON, AZ 85716
Community Based Residential Treatment Facility, Mental Illness
2502 N DODGE BLVD, SUITE 160
TUCSON, AZ 85716
Community/Behavioral Health
2502 N DODGE BLVD, SUITE 120
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Counselor (Professional)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Psychologist
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716
Social Worker (Clinical)
2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215487384, enumerated as an "organization" on October 12, 2016.

The provider is located at 2502 N DODGE BLVD SUITE 190 TUCSON, AZ 85716 and the phone number is (520) 323-1309.

Nursing Care with taxonomy code 251J00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.