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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Assistant

126800000X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for YUKON KUSKOKWIM HEALTH CORP

NPI Number 1326262726
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 DDG141
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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