AGE WELL ARROWHEAD INC. (NPI# 1235764465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235764465 |
Entity Type | Organization |
Organization Name | AGE WELL ARROWHEAD INC. |
Practice Address |
306 W Superior St Ste 10 Duluth MN 55802-5025 |
Practice Telephone | 2186237806 |
Practice Fax Number | 8889746418 |
Mailing Telephone | 2186237806 |
Mailing Fax Number | 8889746418 |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-03-09 |
Authorized Official Name | MARIANNE BOVEE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2186237806 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | A630015200 | 05 |
Street Address |
306 W SUPERIOR ST STE 10 |
City | DULUTH |
State | MN |
Zip Code | 55802-5025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
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Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.