| Yukon Kuskokwim Health Corporation | |
|
5016 Noel Polty Drive Bethel AK 99559 | |
| (907) 543-6452 | |
| Not Available |
| Full Name | Yukon Kuskokwim Health Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5016 Noel Polty Drive, Bethel, Alaska |
| Authorized Official Name and Position | Carol Ann Willard (PROVIDER ENROLLMENT ADMINISTRATOR) |
| Authorized Official Contact | 9075436452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yukon Kuskokwim Health Corporation Po Box 3427 Bethel AK 99559-3427 Ph: (907) 543-6452 | Yukon Kuskokwim Health Corporation 5016 Noel Polty Drive Bethel AK 99559 Ph: (907) 543-6452 |
| NPI Number | 1225629249 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225629249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Yukon Kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6100 | |
Yukon Kuskokwim Health Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Chief Eddie Hoffman Hwy, Suite 340, Bethel, AK 99559 Phone: 907-543-6000 Fax: 907-543-6117 | |
Yukon-kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cheif Eddie Hoffmen, Yukon-kuskokwim Health Corporation, Bethel, AK 99559 Phone: 907-546-6106 Fax: 907-543-6159 | |
Yukon-kuskokwim Health Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6300 Fax: 907-543-6117 | |
Yukon-kuskokwim Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 Noel Polty Blvd., Bethel, AK 99559 Phone: 907-543-6800 Fax: 907-543-7101 |