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
—
—
Other
Enumeration date
12/11/2006
Last updated
10/06/2023
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