NPIMap

Yukon Kuskokwim Health Corporation

Organization Active NPI Health Service Clinic/Center · Toksook Bay, AK

NPI 1497938476 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1497938476
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
YUKON KUSKOKWIM HEALTH CORPORATION
Practice address
37028 Clinic Road
Toksook Bay Subregional Clinic
Toksook Bay, AK 99637
Phone
(907) 543-6000
Fax
(907) 543-6117
NPI assigned
Dec 12, 2007
Organization subpart
Yes
Parent organization (as reported)
YKHC-TOKSOOK BAY SUBREGIONAL CLINIC

Authorized official

Name
Mr. Gene Peltola
Title
Ceo
Phone
(907) 543-6000

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040407001515 TX Part B Supplier - Clinic/Group Practice 5193718765 Receives reassigned benefits from 36 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bethel, AK; Toksook, AK; St. Mary'S, AK; Hooper Bay, AK; Emmonak, AK; Aniak, AK

National Provider Directory

Tax ID family
Edith Kawagley Memorial (32 organizations share this tax ID)
Part of
Edith Kawagley Memorial

Locations

6121 S Airpark Pl
Ste 201
Anchorage, AK 99502
Phone (907) 677-7501

215 Kwiguk St
Ykhcemmonak Subregional Clinic
Emmonak, AK 99581
Phone (907) 543-6020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

37028 Clinic Road
Toksook Bay Subregional Clinic
Toksook Bay, AK 99637

Mailing address

4700 Business Park Blvd
Aeromed Office
Anchorage, AK 99503-7176
Phone (907) 543-6000

Other providers in Toksook Bay, AK

All providers in Toksook Bay, AK · Health Service Clinic/Center in Alaska

Sources for this page

Verify at the official NPI Registry.