Organization
YUKON KUSKOKWIM HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WINKLEMAN (CEO)
(907) 543-6020
Entity
Organization
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, STE 340, BETHEL, AK 99559
(907) 543-6000
(907) 543-6117
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC1414
—
AK
Enumeration date
05/07/2007
Last updated
09/05/2018
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