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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