YUKON-KUSKOKWIM HEALTH CORPORATION (NPI# 1821476599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821476599 |
Entity Type | Organization |
Organization Name | YUKON-KUSKOKWIM HEALTH CORPORATION |
Other Organization Name | WOMENS CARE AND SUPPORT CENTER |
Practice Address |
1260 A Chief Eddie Hoffman Hwy Bethel AK 99559 |
Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
Practice Telephone | 9075436760 |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |
Authorized Official Name | DANIEL WINKELMAN (PRESIDENT/CEO) |
Authorized Official Telephone | 9075436032 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Womens Care and Support Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821438342 | Yukon-kuskokwim Health Corporation | Skilled Nursing Facility | 1100 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2013-06-28 |
1346585056 | Yukon-kuskokwim Health Corporation | Clinic/Center | 528 Cheif Eddie Hoffmen, Yukon-kuskokwim Health Corporation, Bethel, AK 99559-0528 | 2012-12-06 |
1306299714 | Yukon-kuskokwim Health Corporation | Transportation Broker | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2016-07-20 |
1457565731 | Yukon-kuskokwim Health Corporation | Case Management | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2007-05-09 |
1518170836 | Yukon-kuskokwim Health Corporation | Case Management | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2007-05-07 |
1447477815 | Yukon-kuskokwim Health Corporation | Counselor | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2007-04-19 |
1467679936 | Yukon-kuskokwim Health Corporation | Counselor | 5016 Noel Polty Blvd., Bethel, AK 99559 | 2007-04-19 |
1689719825 | Yukon-kuskokwim Health Corporation | Pharmacy | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0827 | 2007-02-21 |
1063567691 | Yukon-kuskokwim Health Corporation | Clinic/Center | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2007-01-24 |
Street Address |
1260 A CHIEF EDDIE HOFFMAN HWY |
City | BETHEL |
State | AK |
Zip Code | 99559 |
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 | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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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.