BRISTOL BAY AREA HEALTH CORPORATION (NPI# 1336272095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336272095 |
| Entity Type | Organization |
| Organization Name | BRISTOL BAY AREA HEALTH CORPORATION |
| Other Organization Name | KANAKANAK PHARMACY |
| Practice Address |
6000 Kanakanak Road Dillingham AK 99576 |
| Mailing Address |
Po Box 130 Dillingham AK 99576-0130 |
| Practice Telephone | 9078425201 |
| Practice Fax Number | 9078429250 |
| Mailing Telephone | 9078425201 |
| Mailing Fax Number | 9048429250 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MR. ROBERT J CLARK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9078425201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 345 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | AB261503 | 01 | |
| AK | PH0067 | 05 | |
| NABP | 0202123 | 01 |
| Other Name | Type Code |
|---|---|
| KANAKANAK PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396292751 | Bristol Bay Area Health Corporation | Hearing Aid Equipment | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2016-09-02 |
| 1154551588 | Bristol Bay Area Health Corporation | Optometrist | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2009-07-20 |
| 1962688309 | Bristol Bay Area Health Corporation | General Acute Care Hospital | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2008-01-16 |
| 1497954556 | Bristol Bay Area Health Corporation | Case Management | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
| 1689873739 | Bristol Bay Area Health Corporation | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
| 1770782831 | Bristol Bay Area Health Corporation | Dentist | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
| 1972702025 | Bristol Bay Area Health Corporation | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
| 1295868289 | Bristol Bay Area Health Corporation | Community/Behavioral Health | 6000 Kanakanak Road, Dillingham, AK 99576 | 2007-03-13 |
| 1114050911 | Bristol Bay Area Health Corporation | Substance Abuse Rehabilitation Facility | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-03-13 |
| Street Address |
6000 KANAKANAK ROAD |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740271741 | Jacqueline Elizabeth Chase | Dietitian, Registered | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2005-10-31 |
| 1306475140 | Nellie Alakayak | Community Health Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2020-04-03 |
| 1336701663 | Alisha Marie Folsom | Registered Nurse | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2019-07-08 |
| 1154983484 | Starla Fox | Registered Nurse | 6000 Kanakanak Road, Dillingham, AK 99576 | 2019-07-08 |
| 1922534098 | Acacia Walton | Specialist | 6000 Kanakanak Road, Dillingham, AK 99576 | 2017-05-10 |
| 1477091791 | Kathleen Sando | Case Manager/Care Coordinator | 6000 Kanakanak Road, Dillingham, AK 99576 | 2017-02-07 |
| 1225491160 | Candace Summer Watts | Family Medicine | 6000 Kanakanak Road, Bbahc, Dillingham, AK 99576 | 2016-03-29 |
| 1588025738 | Carolyn Carlos | Community Health Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2016-03-16 |
| 1508259383 | Leigh Ann Bolin | Social Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2015-03-18 |
| 1811388820 | Jennifer Bennis | Case Manager/Care Coordinator | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2015-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1467820910 | Alicia Mahlow | Case Manager/Care Coordinator | 540 Gauthier Way, Dillingham, AK 99576 | 2015-09-14 |
| 1306100557 | Peter Tallman | Social Worker | 6000 Kanakanak, Dillingham, AK 99576 | 2012-07-02 |
| 1801079546 | Marrulut Eniit Assisted Living, Inc | Respite Care | 125 D Street, Dillingham, AK 99576 | 2007-12-17 |
| 1730393430 | City of Dillingham | Ambulance | 514 Main Street, Dillingham, AK 99576 | 2007-05-10 |
| 1023132792 | City of Dillingham Senior Center | Non-emergency Medical Transport (VAN) | 515 East 1st Ave, Dillingham, AK 99576 | 2007-03-19 |
| 1912037037 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | Chog Center Main Street, Dillingham, AK 99576 | 2007-03-07 |
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396728614 | Joan Lucienne Junge | Nurse Practitioner | 1500 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| Find all providers in zip 99576 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851951 | Bernie's Pharmacy Inc | Pharmacy | 4100 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5230 | 2020-11-03 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1710480009 | Girdwood Drug Inc | Pharmacy | 158 Holmgren, Ste 103, Girdwood, AK 99587 | 2018-03-13 |
| 1962900100 | Copper River Native Association | Pharmacy | Mile 111.5 Richardson Highway, Glennallen, AK 99588 | 2018-01-23 |
| 1558894527 | Alaska Family Pharmacy Healy LLC | Pharmacy | 248.1 Mile Parks Highway, Healy, AK 99743 | 2017-04-06 |
| 1538610050 | Pharmacy Partners, LLC | Pharmacy | 3190 E Meridian Park Loop Ste 110, Wasilla, AK 99654-7422 | 2016-10-19 |
| 1164977591 | Pk Rx LLC | Pharmacy | 1035 W Fireweed Ln, Anchorage, AK 99503-1701 | 2016-08-15 |
| 1679931059 | Alaska Native Tribal Health Consortium | Pharmacy | 3900 Ambassador Dr Ste 311, Anchorage, AK 99508-5922 | 2016-02-01 |
| 1992033575 | Frontier Group Inc | Pharmacy | 2217 E Tudor Rd Ste 18, Anchorage, AK 99507-1068 | 2009-11-19 |
| 1376757310 | Three Bears Alaska Inc. | Pharmacy | 8151 E Palmer Wasilla Hwy, Palmer, AK 99645-8468 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | DILLINGHAM |
| Zip Code | 99576 |
Please comment or provide details below to improve the information on BRISTOL BAY AREA HEALTH CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.