BENSON OUTPATIENT SERVICES CENTER
NPI 1659658516
Community/Behavioral Health in Benson, AZ
NPI Status: Active since November 07, 2011
Contact Information
470 S OCOTILLO AVE STE 1
BENSON, AZ
ZIP 85602
Phone: (480) 831-7566
- Organization
- Community/Behavioral Health
About BENSON OUTPATIENT SERVICES CENTER
This page provides the complete NPI Profile along with additional information for Benson Outpatient Services Center, a provider established in Benson, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1659658516 assigned on November 2011. The practitioner's primary taxonomy code is 251S00000X with license number OTC6848 (AZ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Benson Outpatient Services Center. The authorized official of this NPI record is John F Hogeboom Lisac (President/ceo)
- NPI
- 1659658516
- Provider Legal Name
- COMMUNITY BRIDGES, INC.
- Other Organization Name
- BENSON OUTPATIENT SERVICES CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 470 S OCOTILLO AVE STE 1 BENSON, AZ 85602
- Location Phone
- (480) 831-7566
- 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
- 11-07-2011
- Last Update Date
- 01-02-2023
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- OTC6848
- License State
- AZ
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | OTC6848 (AZ) |
| 2 | 251J00000X | Agencies | Nursing Care | OTC6848 (AZ) |
| 3 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | OTC6848 (AZ) |
| 4 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | OTC6848 (AZ) |
| 5 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | OTC6848 (AZ) |
| 6 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | OTC6848 (AZ) |
| 7 | 291U00000X | Laboratories | Clinical Medical Laboratory | OTC6848 (AZ) |
| 8 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | OTC6848 (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.
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 |
|---|---|---|---|
| 657478 | MEDICAID (05) | AZ |
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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. | |||||||||
| 1 | 6 | 5 | 9 | 6 | 5 | 8 | 5 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 12 | 5 | 16 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 2 + 5 + 1 + 6 + 5 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1659658516 is valid because the calculated check digit 6 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 1659658516, enumerated in the NPI registry as an "organization" on November 07, 2011
The provider is located at 470 S Ocotillo Ave Ste 1 Benson, Az 85602 and the phone number is (480) 831-7566
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 07, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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