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, SUITE 528, BETHEL, AK 99559-0528
(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
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS05AS
—
AK
Enumeration date
04/18/2007
Last updated
03/03/2008
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