| Yukon-kuskokwim Health Corporation | |
|
5016 Noel Polty Blvd. Bethel AK 99559 | |
| (907) 543-6800 | |
| (907) 543-7101 |
| Full Name | Yukon-kuskokwim Health Corporation |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 5016 Noel Polty Blvd., Bethel, Alaska |
| Authorized Official Name and Position | Eugene R Peltola (PRESIDENT & CEO) |
| Authorized Official Contact | 9075436020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yukon-kuskokwim Health Corporation Po Box 528 Bethel AK 99559-0528 Ph: (907) 543-6000 | Yukon-kuskokwim Health Corporation 5016 Noel Polty Blvd. Bethel AK 99559 Ph: (907) 543-6800 |
| NPI Number | 1467679936 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467679936 | NPI | - | NPPES |
| HS414PI | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (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 Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 Noel Polty Drive, Bethel, AK 99559 Phone: 907-543-6452 | |
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 |