BRISTOL BAY AREA HEALTH CORPORATION; NPI #1770645780

Contact Information

BRISTOL BAY AREA HEALTH CORPORATION

192 MAIN STREET
NAKNEK, AK 99633

Phone: 907-246-4214
Fax: 907-842-9203
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic/Center	261Q00000X

Indicates primary specialty

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NPI Profile & details for BRISTOL BAY AREA HEALTH CORPORATION

NPI # 1770645780

LBN Legal business name BRISTOL BAY AREA HEALTH CORPORATION

Authorized official ROBERT CLARK - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/15/2006

Last updated 10/06/2023 - About 3 years ago

Identifiers

AK	License #	920044695
AK	Medicaid	1020782
AK	Other	TEZ156	MEDICARE ID-TYPE UNSPECIFIED

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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