# YAKUTAT TRIBAL HEALTH BOARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yakutat Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871529628
- **Authorized official:** CATHY WASSILLIE (FINANCE MANAGER)
- **Authorized official phone:** (907) 784-3275

## Contact information

- **Practice address:** 115 AIRPORT RD, YAKUTAT, AK 99689
- **Practice address phone:** (907) 784-3275
- **Practice address fax:** (907) 784-3263
- **Mailing address:** PO BOX 112, YAKUTAT, AK 99689-0112
- **Mailing address phone:** (907) 784-3275
- **Mailing address fax:** (907) 784-3263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 288254 | AK | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 06/30/2021

## Other identifiers

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