MEDICARE: WAKODA TRAILS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346821642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAKODA TRAILS LLC

Provider Business Mailing Address
First Line	:	7425 RED BANKS RD
Second Line	:
City	:	GILLETT
State	:	WI
Zip	:	54124-9749
Country	:	US
Telephone Number	:	920-590-1397
Fax Number	:

Provider Business Practice Location Address
First Line	:	7425 RED BANKS RD
Second Line	:
City	:	GILLETT
State	:	WI
Zip	:	54124-9749
Country	:	US
Telephone Number	:	920-590-1397
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR/INSTRUCTOR
Name	:	CORINNE L SCHARDT
Credential	:	CTRI
Telephone Number	:	920-590-1397

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	06/01/2021

Similar Medicare Providers

1972556819 — GILLETT AREA AMBULANCE SERVICE INC.
Practice Location Address:

225 W PARK ST
GILLETT, WI
54124-9414

Practice Phone: 920-855-6060
Practice Fax: 920-855-6030

1689670549 — WOODLANDS OF GILLETT, INC.
Practice Location Address:

330 ROBIN HOOD LN
GILLETT, WI
54124-9201

Practice Phone: 920-855-2136
Practice Fax: 920-855-1631

1811993462 — STEVEN P DRAKE OD
Practice Location Address:

130 E MAIN ST
GILLETT, WI
54124-9386

Practice Phone: 920-855-2117
Practice Fax: 920-855-2331

1477540888 — MICHELE ANN LADURON APNP
Practice Location Address:

340 N GREEN BAY AVE , SUITE 1
GILLETT, WI
54124-9325

Practice Phone: 920-855-2823
Practice Fax: 920-855-6343

1134250905 — ST CLARE MEMORIAL HOSPITAL, INC
Practice Location Address:

340 N GREEN BAY AVE
GILLETT, WI
54124-9325

Practice Phone: 920-855-2823
Practice Fax: 920-855-6343

1962622522 — THE CARING DOCTOR, LLC
Practice Location Address:

340 N GREEN BAY AVE
GILLETT, WI
54124-9325

Practice Phone: 920-855-2823
Practice Fax: 920-855-6343

Directions to “WAKODA TRAILS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.