# BRISTOL BAY AREA HEALTH CORPORTION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOODNEWS BAY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194886895
- **Authorized official:** MR. ROBERT CLARK (CEO)
- **Authorized official phone:** (907) 842-5201

## Contact information

- **Practice address:** 155 CLINIC ROAD, GOODNEWS BAY, AK 99589
- **Practice address phone:** (907) 842-5201
- **Practice address fax:** (907) 842-9250
- **Mailing address:** PO BOX 130, DILLINGHAM, AK 99576-0130
- **Mailing address phone:** (907) 842-5201
- **Mailing address fax:** (907) 842-9250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 10/06/2023