YUKON-KUSKOKWIM HEALTH CORPORATION (NPI# 1063567691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063567691 |
| Entity Type | Organization |
| Organization Name | YUKON-KUSKOKWIM HEALTH CORPORATION |
| Other Organization Name | YUKON KUSKOKWIM DELTA REGIONAL HOSPITAL |
| Practice Address |
700 Chief Eddie Hoffman Hwy Bethel AK 99559 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436300 |
| Practice Fax Number | 9075436006 |
| Mailing Telephone | 9075436000 |
| Mailing Fax Number | 9075436006 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MR. DANIEL WINKELMAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 9075436032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
121742 | AK | Ambulatory Health Care Facilities |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
FEDERAL SITE | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HS05OP | 05 | |
| AK | DEA REGISTRATION | AU4362339 | 01 |
| AK | HS05AW | 05 | |
| AK | HS05IP | 05 |
| Other Name | Type Code |
|---|---|
| Yukon Kuskokwim Delta Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476599 | Yukon-kuskokwim Health Corporation | Clinic/Center | 1260 A Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-05-13 |
| 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 |
| Street Address |
700 CHIEF EDDIE HOFFMAN HWY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144241472 | Gregory C Sy | Physician Assistant | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2006-07-21 |
| 1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
| 1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
| 1770134470 | Kaylene Diane Woods | Pharmacist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0287 | 2019-09-24 |
| 1891261996 | Rayshal Lee Spalding | Dietitian, Registered | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-10-17 |
| 1073093860 | Charlotte Gruber | Social Worker | 700 Chief Eddie Hoffman Hwy, Suite A600, Bethel, AK 99559 | 2018-08-21 |
| 1437643350 | Erin Mckee Knowles | Physical Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-06-15 |
| 1487106100 | Emmanuel Kouao Koffi | Pharmacist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2016-10-28 |
| 1306299714 | Yukon-kuskokwim Health Corporation | Transportation Broker | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2016-07-20 |
| 1700239274 | Bowen Liu | Pharmacist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2016-07-19 |
| Find all providers in the same location | ||||
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235480120 | Yukon Kuskokwim Health Corportation | General Acute Care Hospital | 700 Chief Eddie Hoffman Hwy, Ykhc Pharmacy Department, Bethel, AK 99559-0287 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494263 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 204, Soldotna, AK 99669-7559 | 2010-04-07 |
| 1093043234 | Central Peninsula General Hospital | General Acute Care Hospital | 289 N Fireweed St, Suite C, Soldotna, AK 99669-7540 | 2009-11-30 |
| 1255585360 | Nshc Unalakleet Subregional Clinic | General Acute Care Hospital | 189 Happy Valley Rd, Unalakleet, AK 99684-0189 | 2008-11-17 |
| 1003299108 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 805 Frontage Rd, Suite 123, Kenai, AK 99611-9104 | 2015-07-07 |
| 1275948424 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 303a, Soldotna, AK 99669-7559 | 2014-06-26 |
| 1780099051 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 203, Soldotna, AK 99669-7559 | 2014-06-25 |
| 1609143866 | Central Peninsula Hospital | General Acute Care Hospital | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2011-11-16 |
| 1598063927 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 305, Soldotna, AK 99669-7559 | 2011-03-09 |
| 1598063539 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 108 E Corral Ave, Soldotna, AK 99669-7524 | 2011-02-28 |
| 1831404805 | Central Peninsula General Hospital | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
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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.