Organization
YUKON-KUSKOKWIM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE R PELTOLA (PRESIDENT & CEO)
(907) 543-6020
Entity
Organization
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6300
(907) 543-6117
Mailing address
PO BOX 3427, BETHEL, AK 99559
(907) 543-6398
(907) 543-6117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
281P00000X
Chronic Disease Hospital
—
—
282NR1301X
Rural Acute Care Hospital
—
—
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS05IP
—
AK
05
—
HS05OP
—
AK
05
—
MDG944
—
AK
05
—
PSG944
—
AK
Enumeration date
04/19/2007
Last updated
02/16/2021
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