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YUKON KUSKOKWIM HEALTH CORPORATION NPI 1194945170


NPI Information

NPI: 1194945170
Provider Name: YUKON KUSKOKWIM HEALTH CORPORATION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559
Phone: (907) 543-6100
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YUKON KUSKOKWIM HEALTH CORPORATION is an addiction (substance use disorder) counselor in Bethel, AK. YUKON KUSKOKWIM HEALTH CORPORATION NPI is 1194945170. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559
Phone: (907) 543-6100

The provider's authorized official is Gene Peltola .
The authorized official title is Cheif Executive Officer and has the following contact phone number (907) 543-6020.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA4442MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.