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

Get Directions Reviews

  • 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)
1251B00000XAgencies

Case Management

OTC6848 (AZ)
2251J00000XAgencies

Nursing Care

OTC6848 (AZ)
3261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

OTC6848 (AZ)
4261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

OTC6848 (AZ)
5261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

OTC6848 (AZ)
6261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

OTC6848 (AZ)
7291U00000XLaboratories

Clinical Medical Laboratory

OTC6848 (AZ)
8343900000XTransportation 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.

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 F HOGEBOOM LISAC

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
657478MEDICAID (05)AZ 

Reviews for BENSON OUTPATIENT SERVICES 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 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.
1659658516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091251652
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 = 66

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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.