| Bristol Bay Area Health Corporation | |
|
5060 Main Street Koliganek AK 99576 | |
| (907) 842-5201 | |
| (907) 842-9250 |
| Full Name | Bristol Bay Area Health Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 5060 Main Street, Koliganek, Alaska |
| Authorized Official Name and Position | Robert Clark (CEO) |
| Authorized Official Contact | 9078425201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Bay Area Health Corporation Po Box 130 Dillingham AK 99576-0130 Ph: (907) 842-5201 | Bristol Bay Area Health Corporation 5060 Main Street Koliganek AK 99576 Ph: (907) 842-5201 |
| NPI Number | 1013079607 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013079607 | NPI | - | NPPES |
| 1020782 | Medicaid | AK | |
| TEZ153 | Other | AK | MEDICARE ID-TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |