| Yukon Kuskokwim Health Corporation | |
|
246 Kwiguk St Emmonak AK 99581 | |
| (907) 543-6452 | |
| Not Available |
| Full Name | Yukon Kuskokwim Health Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 246 Kwiguk St, Emmonak, 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 Box 3427 Bethel AK 99559 Ph: () - | Yukon Kuskokwim Health Corporation 246 Kwiguk St Emmonak AK 99581 Ph: (907) 543-6452 |
| NPI Number | 1821686817 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821686817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |