NPIMap

Organization Active NPI

Arrowhead House

  • Psychiatric Residential Treatment Facility
  • Duluth, MN
National Provider Identifier
1619233459
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
800121 Issued in MN
Legal business name
ARROWHEAD HOUSE
Practice address
2217 South St
Duluth, MN 55812-2132
Phone
(218) 728-8978
Fax
(218) 728-9382
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Mr. Douglas Breiland
Title
Director
Phone
(218) 728-9195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 800121 MN Primary

Addresses

Primary practice location

2217 South St
Duluth, MN 55812-2132

Mailing address

2217 South St
Duluth, MN 55812-2132
Phone (218) 728-8978

National Provider Directory

National Provider Directory
Tax ID family
Arrowhead House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1619233459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SOUTH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122132",
            "telephone_number": "218-728-8978",
            "fax_number": "218-728-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SOUTH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122132",
            "telephone_number": "218-728-8978",
            "fax_number": "218-728-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "BREILAND",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-728-9195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MN",
            "license": "800121",
            "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 Apr 5, 2012; 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.