Organization
YUKON KUSKOKWIM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE PELTOLA (CEO)
(907) 543-6300
Entity
Organization
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, SUITE 340, BETHEL, AK 99559
(907) 543-6000
(907) 543-6117
Mailing address
700 CHIEF EDDIE HOFFMAN HWY., SUITE 528, BETHEL, AK 99559-0528
(907) 543-6300
(907) 543-6926
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG470
—
AK
Enumeration date
04/19/2007
Last updated
03/03/2008
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