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Organization

YAKUTAT COMMUNITY HEALTH CENTER

Active
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Organization

YAKUTAT COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RHODA JENSEN (EXECUTIVE DIRECTOR)
(907) 784-3275
Entity
Organization

Contact information

Practice address
112 AIRPORT ROAD, YAKUTAT, AK 99689
(907) 784-3275
(907) 784-3286
Mailing address
PO BOX 112, YAKUTAT, AK 99689-0112
(907) 784-3275
(907) 784-3263

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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