Organization
YUKON KUSKOKWIM HEALTH CORPORATION
Active
Organization
YUKON KUSKOKWIM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN WILLARD (PROVIDER ENROLLMENT ADMINISTRATOR)
(907) 543-6452
Entity
Organization
Contact information
Practice address
5016 NOEL POLTY DRIVE, BETHEL, AK 99559
(907) 543-6452
Mailing address
PO BOX 3427, BETHEL, AK 99559-3427
(907) 543-6452
(907) 543-6117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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