NPIMap

Organization Active NPI

Arrowhead West, Inc.

  • Case Management Agency
  • Dodge City, KS
National Provider Identifier
1700855947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ARROWHEAD WEST, INC.
Practice address
1100 E Wyatt Earp Blvd
Dodge City, KS 67801-5337
Phone
(620) 227-8803
Fax
(620) 227-8812
NPI assigned
Mar 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lori Pendergast
Title
President
Phone
(620) 227-8803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1100 E Wyatt Earp Blvd
Dodge City, KS 67801-5337

Mailing address

1100 E Wyatt Earp Blvd
Dodge City, KS 67801-5337
Phone (620) 227-8803

National Provider Directory

National Provider Directory
Tax ID family
Arrowhead West Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700855947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WYATT EARP BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015337",
            "telephone_number": "620-227-8803",
            "fax_number": "620-227-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WYATT EARP BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015337",
            "telephone_number": "620-227-8803",
            "fax_number": "620-227-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-227-8803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.