BRISTOL BAY AREA HEALTH CORPORATION (NPI# 1497954556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497954556 |
| Entity Type | Organization |
| Organization Name | BRISTOL BAY AREA HEALTH CORPORATION |
| Other Organization Name | INFANT LEARNING PROGRAM |
| Practice Address |
6000 Kanakanak Rd Dillingham AK 99576 |
| Mailing Address |
Po Box 130 Dillingham AK 99576-0130 |
| Practice Telephone | 9078425201 |
| Practice Fax Number | 9078429250 |
| Mailing Telephone | 9078425201 |
| Mailing Fax Number | 9078429250 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | ROBERT CLARK (CEO) |
| Authorized Official Telephone | 9078425201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CMG965 | 05 |
| Other Name | Type Code |
|---|---|
| INFANT LEARNING PROGRAM | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396292751 | Bristol Bay Area Health Corporation | Hearing Aid Equipment | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2016-09-02 |
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465181 | Juliana Christine Montooth | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| 1861099285 | Sequoya Dionne Hayes | Social Worker | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2020-10-08 |
| 1366061442 | Zoe Ann Vitkus | Case Manager/Care Coordinator | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2020-04-09 |
| 1285270181 | Veronica Maldonado | Social Worker | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-11-26 |
| 1659912020 | Luke D Villnave | Case Manager/Care Coordinator | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-10-07 |
| 1477103612 | Angela Duke | Registered Nurse | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-09-19 |
| 1164082111 | Je' Saundra Michelle Acuavera | Registered Nurse | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-06-20 |
| 1457843138 | Kristin Melinda Walcott | Community Health Worker | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2018-05-30 |
| 1942714654 | Rebecca A Shangin | Community Health Worker | 6000 Kanakanak Rd, Chignik Lake Clinic, Dillingham, AK 99576-0130 | 2017-11-17 |
| 1740727668 | Tabitha Holm | Community Health Worker | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2017-01-30 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346422136 | Bristol Bay Native Association | Case Management | 1000 Kanakanak Road, Dillingham, AK 99576-0310 | 2007-12-04 |
| 1619007770 | Hope Community Resources Inc | Case Management | Main St, Dillingham, AK 99576 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915953 | Sundance Ak Care Coordination LLC | Case Management | 11830 Northern Raven Dr, Anchorage, AK 99516-1978 | 2020-06-04 |
| 1891331237 | Daybreak Incorporated | Case Management | 121 W Fireweed Ln Ste 175, Anchorage, AK 99503-2035 | 2019-11-20 |
| 1619519055 | Person Centered Care Corrdination, Inc. | Case Management | 4911 S Albert Cir, Wasilla, AK 99623-9864 | 2019-10-16 |
| 1841855459 | Care Solutions & Coordination, LLC | Case Management | 1805 Miranda Ct, Kenai, AK 99611-6658 | 2019-05-08 |
| 1063975936 | Lisa Rochon-martin | Case Management | 2820 Watergate Way Apt 4, Kenai, AK 99611-8861 | 2019-04-09 |
| 1902370042 | Alpenglow Care Coordination LLC | Case Management | 3310 Lois Dr, Anchorage, AK 99517-2036 | 2019-01-11 |
| 1679055503 | Compassionate Care Coordination & Planning LLC | Case Management | 49855 Bishop Dr # 3, Kenai, AK 99611-9439 | 2018-09-06 |
| 1053893248 | Kristine Joie M Mendoza | Case Management | 2483 Lochenshire Pl, Anchorage, AK 99504-5900 | 2018-09-04 |
| 1952895336 | Ak Waiver and Tefra Planning LLC | Case Management | 14041 Sunview Dr, Anchorage, AK 99515-4131 | 2018-06-19 |
| 1437643301 | 1by Grace Tefra Services, LLC | Case Management | 6644 Cimarron Cir, Anchorage, AK 99504-3945 | 2018-06-14 |
| Find all providers with the same taxonomy | ||||
| City | DILLINGHAM |
| Zip Code | 99576 |
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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.