Organization
YUKON KUSKOKWIM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE PELTOLA (CHEIF EXECUTIVE OFFICER)
(907) 543-6020
Entity
Organization
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6100
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4442
—
AK
Enumeration date
05/01/2007
Last updated
08/22/2020
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