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Organization
YAKUTAT TRIBAL HEALTH BOARD
Active
Organization
YAKUTAT TRIBAL HEALTH BOARD
Active
Other names
Yakutat Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WASSILLIE (FINANCE MANAGER)
(907) 784-3275
Entity
Organization
Contact information
Practice address
115 AIRPORT RD, YAKUTAT, AK 99689
(907) 784-3275
(907) 784-3263
Mailing address
PO BOX 112, YAKUTAT, AK 99689-0112
(907) 784-3275
(907) 784-3263
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
288254
AK
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
AK
Enumeration date
06/23/2006
Last updated
06/30/2021
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