Active NPI
Arrowhead Juvenile
- Health Service Clinic/Center
- Duluth, MN
National Provider Identifier
1386824357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 27729
- Legal business name
- ARROWHEAD JUVENILE
- Practice address
- 1918 N Arlington Ave
Duluth, MN 55811-2034 - Phone
- (218) 625-6715
- NPI assigned
- Nov 7, 2007
- Last updated
- Nov 7, 2007
- 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
- Gary Jones, MD
- Title
- Medical Director
- Phone
- (218) 625-6715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 27729 | MN | Primary |
Addresses
Primary practice location
1918 N Arlington Ave
Duluth, MN 55811-2034
Mailing address
1918 N Arlington Ave
Duluth, MN 55811-2034
Phone (218) 625-6715
National Provider Directory
National Provider DirectoryLocations
1918 N Arlington Ave
Duluth, MN 55811
Phone (218) 625-6700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1386824357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 N ARLINGTON AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558112034",
"telephone_number": "218-625-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 N ARLINGTON AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558112034",
"telephone_number": "218-625-6715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD JUVENILE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "218-625-6715",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MN",
"license": "27729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.