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YUKON KUSKOKWIM HEALTH CORP NPI 1396958609


NPI Information

NPI: 1396958609
Provider Name: YUKON KUSKOKWIM HEALTH CORP
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
829 CHIEF EDDIE HOFFMAN HWY
STE 340
BETHEL, AK
ZIP 99559
Phone: (907) 543-6000
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YUKON KUSKOKWIM HEALTH CORP is a day training developmentally disabled services in Bethel, AK. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. YUKON KUSKOKWIM HEALTH CORP NPI is 1396958609. The provider is registered as an organization entity type.

The provider's business location address is:

829 CHIEF EDDIE HOFFMAN HWY
STE 340
BETHEL, AK
ZIP 99559
Phone: (907) 543-6000
Fax: (907) 543-6117

The provider's authorized official is Dan Winkleman .
The authorized official title is Ceo and has the following contact phone number (907) 543-6020.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 9/5/2018.


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
1251E00000XHome HealthNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3251C00000XDay Training, Developmentally Disabled ServicesYes

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
1HC1414MEDICAIDALASKA

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

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