Yukon Kuskokwim Health Corporation

NPI #1225629249 in Bethel, Alaska

Provider Information

NPI Number
1225629249
Entity Type
Organization
Organization Name
Yukon Kuskokwim Health Corporation
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 2, 2021
Last Updated
Feb 2, 2021

Practice Location

Address
5016 NOEL POLTY DRIVE
City
Bethel
State
Alaska
ZIP Code
99559
Phone
(907) 543-6452

Authorized Official

Name
CAROL ANN WILLARD
Title
PROVIDER ENROLLMENT ADMINISTRATOR
Phone
(907) 543-6452

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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