Yukon Kuskokwim Health Corporation | |
310 Hospital Road St Marys AK 99658 | |
(907) 543-6452 | |
Not Available |
Full Name | Yukon Kuskokwim Health Corporation |
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Speciality | Clinic/center - Multi-specialty |
Location | 310 Hospital Road, St Marys, 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 |
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Yukon Kuskokwim Health Corporation Box 3427 Bethel AK 99559 Ph: () - | Yukon Kuskokwim Health Corporation 310 Hospital Road St Marys AK 99658 Ph: (907) 543-6452 |
NPI Number | 1699363689 |
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Provider Enumeration Date | 01/05/2021 |
Last Update Date | 01/05/2021 |
Identifier | Type | State | Issuer |
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1699363689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |