Arrowhead Interventional Treatment Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ARROWHEAD INTERVENTIONAL TREATMENT CENTER LLC

Practice address

6320 W Union Hills Dr Ste 1400B
Glendale, AZ 85308

Phone

(623) 688-5400

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Shawn Vigneau

Title

Sole MBR

Phone

(480) 566-9755

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1134615453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11180",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 1400B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-688-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD INTERVENTIONAL TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "VIGNEAU",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "480-566-9755"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "8494",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrowhead Home Health Inc (Arrowhead Hospice Centers)
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• Arrowhead Hospice Centers Inc
• Arrowhead Internal Medicine
• Arrowhead Internal Medicine Specialists PC
• Arrowhead Lakes Chiropractic, Inc.
• Arrowhead Lakes Dentistry P C
• Arrowhead Medical and Aesthetic Center LLC
• Arrowhead Medical Inc.
• Arrowhead North Surgery Center, LLC

• Ambulatory Surgical Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.