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YUKON-KUSKOKWIM HEALTH CORPORATION NPI 1447477815


NPI Information

NPI: 1447477815
Provider Name: YUKON-KUSKOKWIM HEALTH CORPORATION
Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
700 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559
Phone: (907) 543-6300
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YUKON-KUSKOKWIM HEALTH CORPORATION is a physician assistant in Bethel, AK. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. YUKON-KUSKOKWIM HEALTH CORPORATION NPI is 1447477815. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559
Phone: (907) 543-6300
Fax: (907) 543-6117

The provider's authorized official is Eugene R Peltola .
The authorized official title is President & Ceo and has the following contact phone number (907) 543-6020.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 2/16/2021.


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
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
3152W00000XOptometristNo
4207Q00000XFamily MedicineNo
5208D00000XGeneral PracticeNo
6225100000XPhysical TherapistNo
7231H00000XAudiologistNo
8235Z00000XSpeech-Language PathologistNo
9281P00000XChronic Disease HospitalNo
10282NR1301XGeneral Acute Care HospitalRuralNo
11363AM0700XPhysician AssistantMedicalNo
12363LF0000XNurse PractitionerFamilyNo
13367500000XNurse Anesthetist, Certified RegisteredNo
14367A00000XAdvanced Practice MidwifeNo
15363A00000XPhysician AssistantYes

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
1HS05IPMEDICAIDALASKA
2HS05OPMEDICAIDALASKA
3MDG944MEDICAIDALASKA
4PSG944MEDICAIDALASKA

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.