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Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Other names
NAKNEK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CLARK (CEO)
(907) 842-9502
Entity
Organization
Contact information
Practice address
192 MAIN STREET, NAKNEK, AK 99633
(907) 246-4214
(907) 842-9203
Mailing address
6000 KANAKANAK RD, PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9400
(907) 842-9203
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
920044695
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020782
—
AK
01
—
TEZ156
MEDICARE ID-TYPE UNSPECIFIED
AK
Enumeration date
12/15/2006
Last updated
10/06/2023
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