Organization Active NPI

Arrowhead Mobile Healthcare, Inc

  • Land Ambulance
  • Show Low, AZ
National Provider Identifier
1114948239
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jan 4, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590013848OtherAZCHAMPUS
AZ0152030OtherAZBCBS
499360MedicaidAZ

Other names 1

  • Show Low EMS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.