Arrowhead Lodge, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BH-3965 Issued in AZ

Legal business name

ARROWHEAD LODGE, LLC

Practice address

5113 W Arrowhead Dr
Prescott, AZ 86305-7304

Phone

(928) 227-2448

Fax

(928) 441-1516

NPI assigned

Sep 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Chance, D.DIV.

Title

Ceo/President

Phone

(928) 227-2448

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rob Ashby, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Prescott, AZ
  • NPI 1174690606
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1124454236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10835",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040835",
            "telephone_number": "928-227-2448",
            "fax_number": "928-441-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 W ARROWHEAD DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057304",
            "telephone_number": "928-227-2448",
            "fax_number": "928-441-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD LODGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "928-227-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.DIV."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-3965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Arnold, RDH
• James Arocho, MD
• Osmund Gregory Arriola, PHARM. D.
• Arrow Housecall
• Arrowhead Lodge
• Michael Anthony Arroyo, MD
• James Brayshaw Arthur, M.D.
• Ascend Autism Spectrum Center for Educational and Neurological Develop
• Julia Ascoly, M.S. ED., CCC-SLP
• Catherine Lee Ashby, PHARMD

• Substance Abuse Rehabilitation Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.