Provider Demographics
NPI:1821225954
Name:ARROWHEAD HEAD START
Entity Type:Organization
Organization Name:ARROWHEAD HEAD START
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD START DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:218-749-2912
Mailing Address - Street 1:702 S 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA
Mailing Address - State:MN
Mailing Address - Zip Code:55792-2775
Mailing Address - Country:US
Mailing Address - Phone:218-749-2912
Mailing Address - Fax:218-749-2944
Practice Address - Street 1:702 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-2775
Practice Address - Country:US
Practice Address - Phone:218-749-2912
Practice Address - Fax:218-749-2944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARROWHEAD ECONOMIC OPPORTUNITY AGENCY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN186662000Medicaid