Arrowhead West, Inc. in Dodge City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Arrowhead West, Inc. - NPI 1053380782
Arrowhead West, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dodge City, Kansas. Arrowhead West, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Arrowhead West, Inc. is 1053380782. The last update date is 2020-08-22.
Arrowhead West, Inc.'s current location address is 1100 E Wyatt Earp Blvd, Dodge City, Kansas. You can contact this provider via phone number 6202278803 and fax number 6202278812. The mailing address for Arrowhead West, Inc. is 1100 E Wyatt Earp Blvd, Dodge City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arrowhead West, Inc. |
|---|---|
| Address | 1100 E Wyatt Earp Blvd, Dodge City, Kansas |
| Phone Number | 6202278803 |
| Fax Number | 6202278812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pendergast Lori |
| Telephone Number | 6202278803 |
NPI Number Detail
| NPI Number | 1053380782 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1100 E Wyatt Earp Blvd |
|---|---|
| City | Dodge City |
| State | Kansas (KS) |
| Post Code | 678015337 |
| Phone Number | 6202278803 |
| Fax Number | 6202278812 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identifier code assigned to Arrowhead West, Inc. by the Centers for Medicare & Medicaid Services?
The Arrowhead West, Inc. has been issued the NPI (National Provider Identifier) 1053380782 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Arrowhead West, Inc.'s physical address?
The Arrowhead West, Inc. is physically located at 1100 E Wyatt Earp Blvd, in the city of Dodge City, KS, with the postal code 678015337.
What is Arrowhead West, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Arrowhead West, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
When did Arrowhead West, Inc. receive its 1053380782 assignment?
The Arrowhead West, Inc. was assigned its 1053380782 on 2006-03-15, which is the date when this unique identifier was issued to the organization.
When was the Arrowhead West, Inc.'s information last updated?
The Arrowhead West, Inc.'s information was last updated on 2020-08-22.