BRISTOL BAY AREA HEALTH CORPORATION (NPI# 1770645202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770645202 |
| Entity Type | Organization |
| Organization Name | BRISTOL BAY AREA HEALTH CORPORATION |
| Practice Address |
6000 Kanakanak Rd Dillingham AK 99576-0130 |
| Mailing Address |
Po Box 130 Dillingham AK 99576-0130 |
| Practice Telephone | 9078425201 |
| Practice Fax Number | 9078429250 |
| Mailing Telephone | 9078425201 |
| Mailing Fax Number | 9078429250 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MR. ROBERT CLARK (CEO) |
| Authorized Official Telephone | 9078425201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| 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 |
| 1336272095 | Bristol Bay Area Health Corporation | Pharmacy | 6000 Kanakanak Road, Dillingham, AK 99576 | 2007-03-13 |
| Street Address |
6000 KANAKANAK RD |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465181 | Juliana Christine Montooth | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| 1861099285 | Sequoya Dionne Hayes | Social Worker | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2020-10-08 |
| 1366061442 | Zoe Ann Vitkus | Case Manager/Care Coordinator | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2020-04-09 |
| 1285270181 | Veronica Maldonado | Social Worker | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-11-26 |
| 1659912020 | Luke D Villnave | Case Manager/Care Coordinator | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-10-07 |
| 1477103612 | Angela Duke | Registered Nurse | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-09-19 |
| 1164082111 | Je' Saundra Michelle Acuavera | Registered Nurse | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2019-06-20 |
| 1457843138 | Kristin Melinda Walcott | Community Health Worker | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2018-05-30 |
| 1942714654 | Rebecca A Shangin | Community Health Worker | 6000 Kanakanak Rd, Chignik Lake Clinic, Dillingham, AK 99576-0130 | 2017-11-17 |
| 1740727668 | Tabitha Holm | Community Health Worker | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2017-01-30 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1962570903 | Cordova Community Hospital | Medicare Defined Swing Bed Unit | 602 Chase Avenue, Cordova, AK 99574-0160 | 2006-11-30 |
| 1649340217 | City of Seward | Medicare Defined Swing Bed Unit | 417 1st Ave, Seward, AK 99664-0365 | 2006-11-09 |
| 1356829279 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 310 Bennett St, Wrangell, AK 99929 | 2018-08-02 |
| 1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
| 1184850893 | Norton Sound Health Corporation | Medicare Defined Swing Bed Unit | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2009-06-09 |
| 1093968372 | South Peninsula Hospital, Inc | Medicare Defined Swing Bed Unit | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-10-30 |
| 1609066828 | South East Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-07-25 |
| 1245352848 | Norton Sound Health Corp | Medicare Defined Swing Bed Unit | 306 W 5th, Nome, AK 99762 | 2007-04-04 |
| 1336247824 | City of Valdez | Medicare Defined Swing Bed Unit | 911 Meals Avenue, Valdez, AK 99686-0550 | 2006-09-20 |
| 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.