SEDONA WELLNESS RETREAT – NPI #1780084236
Clinic/Center

SEDONA WELLNESS RETREAT is an AHC clinic located in SEDONA, AZ. NPPES has assigned the NPI number 1780084236 to SEDONA WELLNESS RETREAT on September 02, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEDONA WELLNESS RETREAT” is a dba name, the actual legal business name for this organization is LODGE AT SEDONA, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEDONA WELLNESS RETREAT below.

NPI Profile for
LODGE AT SEDONA, LLC

NPI Number
1780084236
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LODGE AT SEDONA, LLC
Doing Business As (dba): SEDONA WELLNESS RETREAT
Primary location
125 KALLOF PL
LODGE AT SEDONA
SEDONA, AZ 86336-5566
Phone: (928) 204-1942 Fax: (928) 204-2128
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RYAN FERCHOFF
DIRECTOR
Phone: (928) 613-2233
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.