Organization
YUKON KUSKOKWIM HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN WILLARD (PROVIDER ENROLLMENT ADMINISTRATOR)
(907) 543-6452
Entity
Organization
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6452
(907) 543-6117
Mailing address
PO BOX 3427, BETHEL, AK 99559-3427
(907) 543-6452
(907) 543-6117
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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