Active NPI
Arrowhead Mobile Healthcare, Inc
- Land Ambulance
- Show Low, AZ
National Provider Identifier
1114948239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ARROWHEAD MOBILE HEALTHCARE, INC
- Practice address
- 1000 E Mills
Show Low, AZ 85901-5916 - Phone
- (520) 586-7617
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James W Broome
- Title
- President/Ceo
- Phone
- (520) 586-7617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | AZ | Primary |
Addresses
Primary practice location
1000 E Mills
Show Low, AZ 85901-5916
Mailing address
PO Box 1207
Benson, AZ 85602-1207
Phone (520) 586-7617
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590013848 | Other | AZ | CHAMPUS |
| AZ0152030 | Other | AZ | BCBS |
| 499360 | Medicaid | AZ |
Other names 1
- Show Low EMS
National Provider Directory
National Provider DirectoryLocations
1000 E Mills
Show Low, AZ 85901
Phone (520) 586-7617
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Benson, AZ
- NPI 1639120520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483488000000",
"number": "1114948239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1207",
"city": "BENSON",
"state": "AZ",
"postal_code": "856021207",
"telephone_number": "520-586-7617",
"fax_number": "520-586-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MILLS",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859015916",
"telephone_number": "520-586-7617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD MOBILE HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2017-01-04",
"status": "A",
"authorized_official_last_name": "BROOME",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "520-586-7617"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "590013848",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0152030",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "499360",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Show Low EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.