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Organization

YUKON KUSKOKWIM HEALTH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL WINKELMAN (PRESIDENT/CEO)
(907) 543-6032
Entity
Organization

Contact information

Practice address
829 CHIEF EDDIE HOFFMAN HWY, SUITE 340, BETHEL, AK 99559
(907) 543-6000
(907) 543-6117
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6000
(907) 543-6117

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
373H00000X
Day Training/Habilitation Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
05
MH0150
AK
Enumeration date
04/18/2007
Last updated
02/04/2014
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