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Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Other names
NEW STUYAHOK CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEEANN TAYLOR (PROVIDER ENROLLMENT SPECIALIST)
(907) 842-5201
Entity
Organization
Contact information
Practice address
109 MAIN STREET, NEW STUYAHOK, AK 99636
(907) 842-5201
(907) 842-9250
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/11/2006
Last updated
10/06/2023
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