Organization
YUKON KUSKOKWIM HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE PELTOLA (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
829 CHIEF EDDIE HOFFMAN HWY., SUITE BOX 528, BETHEL, AK 99559-0528
(907) 543-6300
(907) 543-6926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL1414
—
AK
Enumeration date
05/04/2007
Last updated
03/03/2008
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