Organization
YUKON-KUSKOKWIM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WINKELMAN (CEO)
(907) 543-6000
Entity
Organization
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559-0827
(907) 543-6000
(907) 543-6306
Mailing address
PO BOX 287, BETHEL, AK 99559-0287
(907) 543-6000
(907) 543-6306
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996881
PK
—
05
—
PH4141
—
AK
Enumeration date
02/21/2007
Last updated
04/26/2018
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