OrganizationActive
Yukon Kuskokwim Health Corporation
NPI 1699363689 · Multi-Specialty Clinic/Center · St Marys, AK
Provider details
- NPI number
- 1699363689
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carol Willard, Provider Enrollment Administrator(907) 543-6452
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
310 Hospital Road
St Marys, AK 99658
Phone: (907) 543-6452
Approximate (ZIP-level) locationGet directions
Mailing address
Box 3427
Bethel, AK 99559
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2021-01-05
- Certified
- 2020-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.