Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Parent organization
BRISTOL BAY AREA HEALTH CORPORATION
Other names
Bristol Bay Counseling Center Chignik Lake Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRISTOL BAY AREA HEALTH CORPORATION
Authorized official
CATHY LEEANN TAYLOR (PROVIDER ENROLLMENT SPECIALIST)
(907) 842-5201
Entity
Organization
Contact information
Practice address
2336 ALDER LANE, CHIGNIK LAKE, AK 99548
(907) 842-1230
(907) 842-5174
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/30/2021
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