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Contact Information

YUKON KUSKOKWIM HEALTH CORP
829 CHIEF EDDIE HOFFMAN HWY
SUITE 340
BETHEL, AK99559
 Phone: 907-543-6000
 Fax: 907-543-6117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for YUKON KUSKOKWIM HEALTH CORP

NPI # 1720202187
LBN Legal business name YUKON KUSKOKWIM HEALTH CORP
Authorized official GENE PELTOLA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 03/03/2008 - About 18 years ago
Identifiers
AK Medicaid GR0157
AK Medicaid GR0188
AK Medicaid GR0190
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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