| Yukon Kuskokwim Health Corp | |
|
829 Chief Eddie Hoffman Hwy Ste 340 Bethel AK 99559 | |
| (907) 543-6000 | |
| (907) 543-6117 |
| Full Name | Yukon Kuskokwim Health Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 829 Chief Eddie Hoffman Hwy, Bethel, Alaska |
| Authorized Official Name and Position | Gene Peltola (CEO) |
| Authorized Official Contact | 9075436020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yukon Kuskokwim Health Corp Po Box 528 Bethel AK 99559-0528 Ph: (907) 543-6000 | Yukon Kuskokwim Health Corp 829 Chief Eddie Hoffman Hwy Ste 340 Bethel AK 99559 Ph: (907) 543-6000 |
| NPI Number | 1326262726 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326262726 | NPI | - | NPPES |
| DDG141 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Keguta Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Third Ave Ste C, Bethel, AK 99559 Phone: 907-545-3996 | |
Yukon Kuskokwim Health Corp Dental 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 |