YUKON KUSKOKWIM HEALTH CORP (NPI# 1659583383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659583383 |
| Entity Type | Organization |
| Organization Name | YUKON KUSKOKWIM HEALTH CORP |
| Practice Address |
829 Chief Eddie Hoffman Hwy. Ste 340 Bethel AK 99559 |
| Mailing Address |
829 Chief Eddie Hoffman Hwy. Suite Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436000 |
| Practice Fax Number | 9075436117 |
| Mailing Telephone | 9075436300 |
| Mailing Fax Number | 9075436926 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | GENE PELTOLA (CEO) |
| Authorized Official Telephone | 9075436020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL1414 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942368428 | Yukon Kuskokwim Health Corp | Transportation Broker | 4700 Business Park Blvd, E25, Anchorage, AK 99503-7124 | 2006-12-05 |
| 1396958609 | Yukon Kuskokwim Health Corp | Home Health | 829 Chief Eddie Hoffman Hwy, Ste 340, Bethel, AK 99559 | 2007-05-07 |
| 1346466232 | Yukon Kuskokwim Health Corp | Social Worker | 829 Chief Eddie Hoffman Hwy, Suite 340, Bethel, AK 99559 | 2007-04-18 |
| 1710104302 | Yukon Kuskokwim Health Corp | Clinic/Center | 829 Chief Eddie Hoffman Hwy, Suite 528, Bethel, AK 99559-0528 | 2007-04-18 |
| 1720202187 | Yukon Kuskokwim Health Corp | Dentist | 829 Chief Eddie Hoffman Hwy, Suite 340, Bethel, AK 99559 | 2007-04-13 |
| 1326262726 | Yukon Kuskokwim Health Corp | Dentist | 829 Chief Eddie Hoffman Hwy, Ste 340, Bethel, AK 99559 | 2007-04-13 |
| Street Address |
829 CHIEF EDDIE HOFFMAN HWY. STE 340 |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770910614 | Monica Anne Turrentine | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hwy., Bethel, AK 99559 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831634393 | Rishi R Patel | Optometrist | 18 Penny Ln, Bethel, CT 06801-1730 | 2016-12-19 |
| 1225446131 | Brian Blum | Optometrist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2014-07-24 |
| 1518296748 | Eyecare for You, PC | Optometrist | 1593 Vt Rt 107, Bethel, VT 05032 | 2009-12-17 |
| 1780814632 | Dean A Barcelow | Optometrist | 1593 Vermont Route 107, Bethel, VT 05032-4456 | 2009-07-24 |
| 1992872287 | Peter B. Lerner | Optometrist | 68 Stony Hill Rd, Bethel, CT 06801-3060 | 2006-11-29 |
| 1750393211 | Jerry Albert Barcelow | Optometrist | 1593 Vt Rte 107, Bethel, VT 05032-4456 | 2006-08-13 |
| 1285180562 | Isaac Thomas Kalistook | Optometrist | 900 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0287 | 2016-08-28 |
| 1083099659 | Dalila Lucatero | Optometrist | 829 Chief Eddie Hoffman Hwy, Suite 135, Bethel, AK 99559 | 2015-07-24 |
| 1902233760 | Rebecca E Barcelow | Optometrist | 1593 Vermont Route 107, Bethel, VT 05032-4456 | 2013-10-10 |
| 1083960215 | Dr. Moore and Associates LLC | Optometrist | 7 Stony Hill Rd, Bethel, CT 06801-1030 | 2012-07-25 |
| Find all providers in BETHEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.