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Contact Information

BRISTOL BAY AREA HEALTH CORPORATION
6000 KANAKANAK ROAD
DILLINGHAM, AK99576
 Phone: 907-842-5201
 Fax: 907-842-9250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRISTOL BAY AREA HEALTH CORPORATION

NPI Number 1336272095
LBN Legal business name BRISTOL BAY AREA HEALTH CORPORATION
Authorized official ROBERT CLARK - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2007
Last updated 03/07/2023 - About 3 years ago
Identifiers
AK License # 345
AK Medicaid PH0067
Other 0202123 NABP
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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