Provider Demographics
NPI:1134252737
Name:WOODLAND WELLNESS CENTER, INC.
Entity type:Organization
Organization Name:WOODLAND WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SCHERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-456-1571
Mailing Address - Street 1:459 FARMERS LOOP RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99712-1406
Mailing Address - Country:US
Mailing Address - Phone:907-456-1571
Mailing Address - Fax:907-456-1581
Practice Address - Street 1:459 FARMERS LOOP RD
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99712-1406
Practice Address - Country:US
Practice Address - Phone:907-456-1571
Practice Address - Fax:907-456-1581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK903209261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care