ARROWHEAD JUVENILE NPI 1386824357

NPI Information

NPI: 1386824357
Provider Name: ARROWHEAD JUVENILE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 24D0880189

Address:
1918 N ARLINGTON AVE
DULUTH, MN
ZIP 55811
Phone: (218) 625-6715
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ARROWHEAD JUVENILE is a health service clinic center in Duluth, MN. ARROWHEAD JUVENILE NPI is 1386824357. The provider is registered as an organization entity type.

The provider's business location address is:

1918 N ARLINGTON AVE
DULUTH, MN
ZIP 55811-034
Phone: (218) 625-6715

The provider's authorized official is Gary Jones .
The authorized official title is Medical Director and has the following contact phone number (218) 625-6715.

The CLIA number assigned to this NPI record is 24D0880189 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	27729	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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