MEDICARE: ARROWHEAD FAMILY HEALTH CENTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1255681730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROWHEAD FAMILY HEALTH CENTER PC

Provider Business Mailing Address
First Line	:	16390 N 59TH AVE STE 200
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-1711
Country	:	US
Telephone Number	:	623-334-4000
Fax Number	:	623-334-4400

Provider Business Practice Location Address
First Line	:	2629 N SCOTTSDALE RD
Second Line	:	SUITE 200
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-1370
Country	:	US
Telephone Number	:	623-334-4000
Fax Number	:	623-334-4400

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	MRS. JANNA WELLS
Credential	:
Telephone Number	:	623-334-4000

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	01/10/2025

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Directions to “ARROWHEAD FAMILY HEALTH CENTER PC ” Practice Location

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