Organization Name: | YUKON-KUSKOKWIM HEALTH CORPORATION |
NPI Number: | 1063567691 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL WINKELMAN (PRESIDENT & CEO) |
Mailing Address: | 700 Chief Eddie Hoffman Hwy Bethel |
State: | AK US |
Postal Code: | 99559 |
Phone Number: | 9075436300 |
Fax Number: | 9075436006 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 121742 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |