CMS-1500 Box 24J / 33a • NPI
1073245692
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251B00000X
Licensed & Credentialed Case Management
Box 32 Service Location & ZIP+4
32 NORTH 10TH AVENUE, SUITE 5, PAGE, AZ, 86040
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073245692 (COMMUNITY BRIDGES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073245692 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COMMUNITY BRIDGES, INC. |
| Plain-English Specialty | Licensed & Credentialed Case Management NUCC Code: 251B00000X (Case Management) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 32 NORTH 10TH AVENUE, SUITE 5, PAGE, AZ, 86040 |
| Practice Telephone / Fax | Tel: (480) 831-7566 |
| Administrative Mailing Address | 1855 W BASELINE RD STE 101, MESA, AZ, 85202-9098 |
| Enumeration & Last Sync | Enumerated: 2022-06-30 | CMS Record Updated: 2022-06-30 |
| Authorized Official | JOHN HOGEBOOM (President/CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251B00000X)
What Does Taxonomy Code 251B00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251B00000X translates to:
"Licensed & Credentialed Case Management"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COMMUNITY BRIDGES, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
276400000X — Rehabilitation, Substance Use Disorder UnitPlain English: Licensed & Credentialed Hospital Units — Rehabilitation — Substance Use Disorder Unit | State: N/A | License: Verified | Primary: Secondary |
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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