BRISTOL BAY AREA HEALTH CORPORATION (NPI# 1396292751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396292751 |
Entity Type | Organization |
Organization Name | BRISTOL BAY AREA HEALTH CORPORATION |
Other Organization Name | KANAKANAK HOSPITAL |
Practice Address |
6000 Kanakanak Rd. Dillingham AK 99576-0130 |
Practice Telephone | 9078425201 |
Practice Fax Number | 9078429250 |
Mailing Telephone | 9078425201 |
Mailing Fax Number | 9078429250 |
Enumeration Date | 2016-09-02 |
Last Update Date | 2016-09-02 |
Authorized Official Name | ROBERT J CLARK (CEO/PRESIDENT) |
Authorized Official Telephone | 9078425201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332S00000X | Hearing Aid Equipment | 66211 | AK | Suppliers |
Other Name | Type Code |
---|---|
Kanakanak Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
1154551588 | Bristol Bay Area Health Corporation | Optometrist | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2009-07-20 |
1962688309 | Bristol Bay Area Health Corporation | General Acute Care Hospital | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2008-01-16 |
1497954556 | Bristol Bay Area Health Corporation | Case Management | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
1689873739 | Bristol Bay Area Health Corporation | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
1770782831 | Bristol Bay Area Health Corporation | Dentist | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
1972702025 | Bristol Bay Area Health Corporation | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
1295868289 | Bristol Bay Area Health Corporation | Community/Behavioral Health | 6000 Kanakanak Road, Dillingham, AK 99576 | 2007-03-13 |
1336272095 | Bristol Bay Area Health Corporation | Pharmacy | 6000 Kanakanak Road, Dillingham, AK 99576 | 2007-03-13 |
1114050911 | Bristol Bay Area Health Corporation | Substance Abuse Rehabilitation Facility | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-03-13 |
Street Address |
6000 KANAKANAK RD. |
City | DILLINGHAM |
State | AK |
Zip Code | 99576-0130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427099043 | Ronald Norbert Talaga | Family Medicine | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2006-06-08 |
1215553979 | Bristoal Bay Counseling Center, Bristol Bay Area Corporation | Community/Behavioral Health | 6000 Kanakanak Rd., Bristol Bay Counseling Center, Dillingham, AK 99576 | 2020-06-18 |
1629567862 | Lucy P Andrews | Counselor | 6000 Kanakanak Rd., Togiak Clinic, Dillingham, AK 99576-0130 | 2018-05-03 |
1114463437 | Madison Ayson | Community Health Worker | 6000 Kanakanak Rd., Dillingham, AK 99576 | 2017-01-10 |
1144607110 | Stephanie Monsen | Community Health Worker | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2015-04-29 |
1093113334 | Esther O Udechukwu | Dietitian, Registered | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2014-12-19 |
1255744306 | Hector Bravo | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2014-06-06 |
1285067884 | Evelyn Marie Phillips | Pharmacist | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2013-08-19 |
1740523992 | Melissa A Paul | Community Health Worker | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2013-04-05 |
1982943627 | Monica Lynn Anderson | Community Health Worker | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2013-01-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
1467820910 | Alicia Mahlow | Case Manager/Care Coordinator | 540 Gauthier Way, Dillingham, AK 99576 | 2015-09-14 |
1306100557 | Peter Tallman | Social Worker | 6000 Kanakanak, Dillingham, AK 99576 | 2012-07-02 |
1801079546 | Marrulut Eniit Assisted Living, Inc | Respite Care | 125 D Street, Dillingham, AK 99576 | 2007-12-17 |
1730393430 | City of Dillingham | Ambulance | 514 Main Street, Dillingham, AK 99576 | 2007-05-10 |
1023132792 | City of Dillingham Senior Center | Non-emergency Medical Transport (VAN) | 515 East 1st Ave, Dillingham, AK 99576 | 2007-03-19 |
1912037037 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | Chog Center Main Street, Dillingham, AK 99576 | 2007-03-07 |
1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
1396728614 | Joan Lucienne Junge | Nurse Practitioner | 1500 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
Find all providers in zip 99576 |
Taxonomy Code | 332S00000X |
Grouping | Suppliers |
Classification | Hearing Aid Equipment |
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114306529 | Norton Sound Health Corporation | Hearing Aid Equipment | 1000 Greg Krusheck Ave, Nome, AK 99762-0966 | 2015-05-19 |
1962986588 | Costco Wholesale Corporation | Hearing Aid Equipment | 48 College Rd, Fairbanks, AK 99701-1706 | 2018-09-19 |
1043769797 | Southcentral Foundation | Hearing Aid Equipment | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2016-09-22 |
1154701787 | Costco Wholesale Corporation | Hearing Aid Equipment | 5225 Commercial Blvd, Juneau, AK 99801-7210 | 2015-06-09 |
1245623800 | Costco Wholesale Corporation | Hearing Aid Equipment | 4125 Debarr Rd, Anchorage, AK 99508-3115 | 2015-03-06 |
1609269265 | Costco Wholesale Corporation | Hearing Aid Equipment | 330 W Dimond Blvd, Anchorage, AK 99515-1903 | 2015-03-06 |
1619124534 | Northland Hearing Services, Inc. | Hearing Aid Equipment | 29 College Rd Ste 6, Fairbanks, AK 99701-1739 | 2008-08-21 |
City | DILLINGHAM |
Zip Code | 99576 |
Please comment or provide details below to improve the information on BRISTOL BAY AREA HEALTH CORPORATION.
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.