# YUKON KUSKOKWIM HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316159684
- **Authorized official:** GENE PELTOLA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (907) 543-6020

## Contact information

- **Practice address:** 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
- **Practice address phone:** (907) 543-6100
- **Mailing address:** PO BOX 528, BETHEL, AK 99559-0528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | BR14141 | — | AK |