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BRISTOL BAY AREA HEALTH CORPORTATION
>> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1922160464
Organizational Registrant:Organization Name: BRISTOL BAY AREA HEALTH CORPORTATION
Organization is not Subpart
Authorized Official: ROBERT CLARK CEO 907--84-25201
Organization is not Subpart
Authorized Official: ROBERT CLARK CEO 907--84-25201
Location and contact information for practice:
MAIN STREET CLARKS POINT, AK 99569-0000 US
Tel: 907-842-5201 Fax: 907-842-9250
Tel: 907-842-5201 Fax: 907-842-9250
Contact information for business:
PO BOX 130 DILLINGHAM, AK 99576-0130 US
Tel: 907-842-5201 Fax: 907-842-5201
Tel: 907-842-5201 Fax: 907-842-5201
Registration Information:
NPI: 1922160464
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261Q00000X | Ambulatory Health Care Facilities Clinic/Center | AK | ========= |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
