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ARROWHEAD LODGE
NPI 1043574577
Substance Abuse Rehabilitation Facility in Prescott, AZ

Active since June 29, 2012
5113 W ARROWHEAD DR, PRESCOTT, AZ 86305(626) 797-9977 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arrowhead Lodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARROWHEAD LODGE (NPI 1043574577) is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since June 2012. The organization lists Kenneth Anthony Gray, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1043574577
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameARROWHEAD LODGE
Location Address5113 W ARROWHEAD DRPrescott, AZ 86305-7304
Mailing Address5113 W Arrowhead DrPrescott, AZ 86305-7304
Phone(626) 797-9977
Organization SubpartYesParent: The Montana Society
Authorized OfficialKenneth Anthony GrayInsurance Coordinator · (626) 797-9977
Enumeration DateJune 29, 2012
✔ NPI 1043574577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in AZ · BH-3965
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
5113 W ARROWHEAD DR, Prescott, AZ 86305
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARROWHEAD LODGE, LLC
Substance Abuse Rehabilitation Facility
5113 W ARROWHEAD DR
PRESCOTT, AZ 86305
Yavapai County (928) 227-2448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arrowhead Lodge's NPI number?

The NPI number for Arrowhead Lodge is 1043574577. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Arrowhead Lodge located?

Arrowhead Lodge is located at 5113 W Arrowhead Dr, Prescott, AZ 86305. The listed phone number is (626) 797-9977.

What is Arrowhead Lodge's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Arrowhead Lodge was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.