| Whole Family Integrated Wellness Llc | |
|
600 E 36th Ave Ste 300 Anchorage AK 99503-4168 | |
| (907) 562-3060 | |
| (907) 562-3061 |
| Full Name | Whole Family Integrated Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 E 36th Ave Ste 300, Anchorage, Alaska |
| Authorized Official Name and Position | Tarryn Farrell (CFO) |
| Authorized Official Contact | 9706314173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Family Integrated Wellness Llc 600 E 36th Ave Ste 300 Anchorage AK 99503-4168 Ph: (907) 562-3060 | Whole Family Integrated Wellness Llc 600 E 36th Ave Ste 300 Anchorage AK 99503-4168 Ph: (907) 562-3060 |
| NPI Number | 1487265690 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 6800208380 |
|---|---|
| Medicare Enrollment ID | O20201208001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487265690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Donald C Hudson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396858437 PECOS PAC ID: 6709786684 Enrollment ID: I20040109000093 |
| Provider Name | Jessica J Dachowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427119411 PECOS PAC ID: 4486814738 Enrollment ID: I20120326000085 |
| Provider Name | Dawn Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002729 PECOS PAC ID: 3072814748 Enrollment ID: I20190205002239 |
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