SEDONA WELLNESS RETREAT
NPI 1780084236
Clinic/Center - Health Service in Sedona, AZ

Q: What is Lodge At Sedona, LLC's NPI number?

The NPI number for Lodge At Sedona, LLC is 1780084236. It was assigned to this organization in the NPPES registry on September 2, 2014. The provider is doing business as Sedona Wellness Retreat.

Q: What is Lodge At Sedona, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since September 02, 2014CLIA 03D2139869 · Waiver

125 KALLOF PL, LODGE AT SEDONA, SEDONA, AZ 86336(928) 204-1942(928) 204-2128 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sedona Wellness Retreat NPPES

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

SEDONA WELLNESS RETREAT (NPI 1780084236) is a healthcare organization registered as a health service in Sedona, Arizona and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Ryan Ferchoff, Director, as its authorized official.

NPPES Registry Identity

NPI1780084236

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameLODGE AT SEDONA, LLC

Location Address125 KALLOF PL, LODGE AT SEDONASedona, AZ 86336-5566

Mailing Address125 Kallof Pl, Lodge At SedonaSedona, AZ 86336-5566 · (928) 204-1942 · Fax (928) 204-2128

Phone(928) 204-1942

Fax(928) 204-2128

Organization SubpartNo

Authorized OfficialRyan FerchoffDirector · (928) 613-2233

Enumeration DateSeptember 2, 2014

✔ NPI 1780084236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedNaturopathTaxonomy 175F00000X

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

125 KALLOF PL, Sedona, AZ 86336

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Other Names 1

Doing Business AsSedona Wellness Retreat

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2139869

Sedona Wellness Retreat · Sedona, AZ

Active · expires Nov 8, 2027

CLIA Number03D2139869

Laboratory TypePhysician Office

Certificate Effective DateNovember 9, 2025

Certificate Expiration DateNovember 8, 2027

Laboratory DirectorRyan D. Ferchoff

Laboratory Phone(928) 239-4589

Laboratory LocationSedona Wellness Retreat125 Kallof Pl, Sedona, AZ 86336

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. RYAN DALE FERCHOFF N.D.

Naturopath