CENTRAL CITY ADDICTION RECOVERY CENTER - OUTPATIENT
NPI 1235849993
Clinic/Center in Phoenix, AZ

NPI Status: Active since December 02, 2022

Contact Information

2770 E VAN BUREN ST RM E
PHOENIX, AZ
ZIP 85008
Phone: (480) 831-7566

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About CENTRAL CITY ADDICTION RECOVERY CENTER - OUTPATIENT

This page provides the complete NPI Profile along with additional information for Central City Addiction Recovery Center - Outpatient, a provider established in Phoenix, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1235849993 assigned on December 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Central City Addiction Recovery Center - Outpatient. The authorized official of this NPI record is John Hogeboom (President/ceo)

NPI
1235849993
Provider Legal Name
COMMUNITY BRIDGES, INC.
Other Organization Name
CENTRAL CITY ADDICTION RECOVERY CENTER - OUTPATIENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2770 E VAN BUREN ST RM E PHOENIX, AZ 85008
Location Phone
(480) 831-7566
Mailing Address
1855 W BASELINE RD STE 101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-02-2022
Last Update Date
04-14-2023
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1251S00000XAgencies

Community/Behavioral Health

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Insurance Plans Accepted

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

  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - PimaFocus Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - PimaFocus Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - PimaFocus Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - PimaFocus Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - PimaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Bronze - PimaFocus Network - HMO

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

Authorized Official Title
PRESIDENT/CEO
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
OTC12004OTHER (01)AZADHS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235849993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226516418918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 6 + 4 + 1 + 8 + 9 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1235849993 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235849993, enumerated as an "organization" on December 02, 2022.

The provider is located at 2770 E VAN BUREN ST RM E PHOENIX, AZ 85008 and the phone number is (480) 831-7566.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.