Organization Active NPI

Arrowhead Juvenile

  • Health Service Clinic/Center
  • Duluth, MN
National Provider Identifier
1386824357
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
27729 Issued in MN
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.