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
5016 NOEL POLTY BLVD., BETHEL, AK 99559
(907) 543-6800
(907) 543-7101
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS414PI
—
AK
Enumeration date
04/19/2007
Last updated
07/31/2013
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