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PAYSON OUTPATIENT SERVICES CENTER
NPI 1548416514
Community/Behavioral Health in Payson, AZ

Active since August 11, 2008CLIA 03D2119924 · Waiver
803 W MAIN ST, PAYSON, AZ 85541(928) 468-0022(928) 468-0044 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Feb 14, 2023, Jan 13, 2023 (3 updates tracked since 2023).

About Payson Outpatient Services Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAYSON OUTPATIENT SERVICES CENTER (NPI 1548416514) is a healthcare organization registered as a community/behavioral health in Payson, Arizona and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists John F Hogeboom, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1548416514
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY BRIDGES, INC
Location Address803 W MAIN STPayson, AZ 85541-4993
Mailing Address1855 W. Baseline Rd, Suite 101Mesa, AZ 85202-9098 · (480) 831-7566 · Fax (480) 962-7671
Phone(928) 468-0022
Fax(928) 468-0044
Organization SubpartYes
Authorized OfficialJohn F HogeboomVp/coo · (480) 831-7566
Enumeration DateAugust 11, 2008
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1548416514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AZ · OTC6017
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X · License OTC6017 (AZ)
Also ListedNursing CareTaxonomy 251J00000X · License OTC6017 (AZ)
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License OTC6017 (AZ)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License OTC6017 (AZ)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License OTC6017 (AZ)
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License OTC6017 (AZ)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License OTC6017 (AZ)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License OTC6017 (AZ)
803 W MAIN ST, Payson, AZ 85541
Open in Google Maps ↗

Other Names 1

Doing Business AsPayson Outpatient Services Center

Other Identifiers 2

Medicaid357379AZ
OtherZ145164AZ · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2119924

Payson Outpatient Service Center - 2 · Payson, AZ
Active · expires Oct 5, 2026
CLIA Number03D2119924
Laboratory TypeMental Health Facility
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorEmily Koch
Laboratory Phone(480) 831-7566
Laboratory LocationPayson Outpatient Service Center - 2803 W Main Street, Payson, AZ 85541
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA SHEWEY LPC
Counselor (Professional)
803 W MAIN ST
PAYSON, AZ 85541
Gila County (928) 284-8483
COMMUNITY BRIDGES, INC.
Community/Behavioral Health
803 W MAIN ST
PAYSON, AZ 85541
Gila County (480) 831-7566
MS. MARJORIE J STRICKLAND MHR
Counselor (Addiction (Substance Use Disorder))
803 W MAIN ST
PAYSON, AZ 85541
Gila County (928) 468-0022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Bridges, Inc's NPI number?

The NPI number for Community Bridges, Inc is 1548416514. It was assigned to this organization in the NPPES registry on August 11, 2008. The provider is doing business as Payson Outpatient Services Center.

Where is Community Bridges, Inc located?

Community Bridges, Inc is located at 803 W Main St, Payson, AZ 85541. The listed phone number is (928) 468-0022.

What is Community Bridges, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Community Bridges, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2119924) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Bridges, Inc accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Community Bridges, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Bridges, Inc was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.