Northern Medical Strategies LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHERN MEDICAL STRATEGIES LLC

Doing business as

Arrowhead Surgery Center

Practice address

4316 Rice Lake Rd Ste 104
Duluth, MN 55811-2885

Phone

(701) 318-2986

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Fagerlie

Title

Administrator

Phone

(701) 318-2986

Specialties & licenses 1

Addresses

Other names 1

• Arrowhead Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245969179. Details of each certification follow.

• CCN 24C0001120 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 24C0001120

Legal name

ARROWHEAD SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 1, 2023

Last certification

Nov 1, 2023

Ownership / control type

Proprietary

Facility address

4316 Rice Lake Road Suite 104
Duluth, MN 55811

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Jared Broadway, M.D.

  • Neurological Surgery Physician
  • Fargo, ND
  • NPI 1457551228
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1245969179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 RICE LAKE RD STE 104",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 RICE LAKE RD STE 104",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112885",
            "telephone_number": "701-318-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL STRATEGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "FAGERLIE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-318-2986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Duluth, MN
• Providers in Duluth, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.