Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Other names
PORTAGE CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CLARK (CEO)
(907) 842-5201
Entity
Organization
Contact information
Practice address
MAIN STEET, PORTAGE CREEK, AK 99576
(907) 842-5201
(907) 840-9203
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9203
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/06/2010
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