ARROWHEAD CENTER, INC
Addiction Substance Use Disorder
Virginia, Minnesota
Provider NPI: 1619984028
Organization Information:Organization Name: ARROWHEAD CENTER, INC
Organization is not Subpart
Authorized Official: RICK GOODMAN DIRECTOR 218-7492877
Practice Location:
505 12TH AVE WEST SUITE 1 VIRGINIA, MN 55792 US
Tel: 218-749-2877 Fax: --
Business Mailing Address:
3920 13TH AVE E SUITE 6 HIBBING, MN 55746 US
Tel: 218-263-7540 Fax: 866-732-0699
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: RICK GOODMAN DIRECTOR 218-7492877
Practice Location:
505 12TH AVE WEST SUITE 1 VIRGINIA, MN 55792 US
Tel: 218-749-2877 Fax: --
Business Mailing Address:
3920 13TH AVE E SUITE 6 HIBBING, MN 55746 US
Tel: 218-263-7540 Fax: 866-732-0699
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 9049AR | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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