DODGE CENTER
NPI 1871049775
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ
NPI Status: Active since August 30, 2016
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- CLIA Number: 03D2118151
- CLIA Cert. Type: Other - MENTAL HEALTH FACILITY
- CLIA Exp. Date: 08-30-2026
About DODGE CENTER
This page provides the complete NPI Profile along with additional information for Dodge Center, a provider established in Tucson, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1871049775 assigned on August 2016. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Dodge Center. The authorized official of this NPI record is John Hogeboom Lisac (President/ceo)
- NPI
- 1871049775
- Provider Legal Name
- COMMUNITY BRIDGES, INC.
- Other Organization Name
- DODGE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2950 N DODGE BLVD TUCSON, AZ 85716
- Location Phone
- (877) 931-9142
- 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
- 08-30-2016
- Last Update Date
- 01-13-2023
- 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 Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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 | 291U00000X | Laboratories | Clinical Medical Laboratory | BH4997 (AZ) |
| 2 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | BH4997 (AZ) |
| 3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | BH4997 (AZ) |
| 4 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | BH4997 (AZ) |
| 5 | 385H00000X | Respite Care Facility | Respite Care | BH4997 (AZ) |
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 - PimaFocus Network - HMO
- Blue AdvanceHealth Gold - PimaFocus Network - HMO
- Blue AdvanceHealth Silver - PimaFocus Network - HMO
- Blue EverydayHealth Gold - PimaFocus Network - HMO
- Blue EverydayHealth Silver - PimaFocus 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 - PimaFocus Network - HMO
- Blue StandardHealth Gold - PimaFocus Network - HMO
- Blue StandardHealth Silver - PimaFocus Network - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - 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.
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 |
|---|---|---|---|
| BH4997 | OTHER (01) | AZ | ADHS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2118151
- Facility Type
- Other - MENTAL HEALTH FACILITY
- Certificate Effective Date
- August 31, 2024
- Certificate Expiration Date
- August 30, 2026
- Laboratory Director
- EMILY KOCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dodge Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DODGE CENTER
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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 | 8 | 7 | 1 | 0 | 4 | 9 | 7 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 0 | 4 | 18 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 0 + 4 + 1 + 8 + 7 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1871049775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336522077 | RONALD SCHRAMM Organization | Substance Abuse Rehabilitation Facility | 2950 N DODGE BLVD TUCSON, AZ 85716 (520) 628-3154 |
| 1114039492 | PASADERA BEHAVIORAL HEALTH NETWORK, INC. Organization | Substance Abuse Rehabilitation Facility | 2950 N DODGE BLVD TUCSON, AZ 85716 (520) 327-9863 |
| 1538238621 | COMPASS VIDA LIBRE Organization | Special Hospital | 2950 N DODGE BLVD TUCSON, AZ 85716 (520) 624-5272 |
| 1417741059 | MRS. JESSICA MICHELE CASTEL DE ORO LPC Individual | Counselor (Professional) | 2950 N DODGE BLVD TUCSON, AZ 85716 (520) 327-9863 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871049775, enumerated in the NPI registry as an "organization" on August 30, 2016
The provider is located at 2950 N Dodge Blvd Tucson, Az 85716 and the phone number is (877) 931-9142
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Imperial. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D2118151 for a "other - mental health facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 30, 2016. 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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