| Soluna Holistic Healthcare, Inc. | |
|
14122 W Mcdowell Rd Suite 102-b Goodyear AZ 85395-2503 | |
| (623) 693-3000 | |
| Not Available |
| Full Name | Soluna Holistic Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14122 W Mcdowell Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Sarah Maria Larson (PRESIDENT) |
| Authorized Official Contact | 6236933000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soluna Holistic Healthcare, Inc. 14122 W Mcdowell Rd Suite 102-b Goodyear AZ 85395-2503 Ph: () - | Soluna Holistic Healthcare, Inc. 14122 W Mcdowell Rd Suite 102-b Goodyear AZ 85395-2503 Ph: (623) 693-3000 |
| NPI Number | 1730547282 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Medicare PECOS PAC ID | 1153615950 |
|---|---|
| Medicare Enrollment ID | O20160802000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730547282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP4007 (Arizona) | Primary |
| Provider Name | Sarah M Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396035408 PECOS PAC ID: 0941450746 Enrollment ID: I20121031000506 |
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