Healthcare Provider Details

I. General information

NPI: 1285388546
Provider Name (Legal Business Name): SAVIDA HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GILFORD AVE BLDG 1
GILFORD NH
03249-7536
US

IV. Provider business mailing address

PO BOX 291943
NASHVILLE TN
37229-1943
US

V. Phone/Fax

Practice location:
  • Phone: 833-952-0829
  • Fax:
Mailing address:
  • Phone: 833-952-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARINA MAHONEY
Title or Position: VP REVENUE CYCLE MANAGEMENT
Credential:
Phone: 913-213-1084