BRISTOL BAY AREA HEALTH CORPORATION (NPI# 1972702025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972702025 |
| Entity Type | Organization |
| Organization Name | BRISTOL BAY AREA HEALTH CORPORATION |
| Practice Address |
6000 Kanakanak Rd 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 | 9078429203 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | ROBERT CLARK (CEO) |
| Authorized Official Telephone | 9078425201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG965 | 05 |
| 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 |
| 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 |
| 1114050911 | Bristol Bay Area Health Corporation | Substance Abuse Rehabilitation Facility | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-03-13 |
| Street Address |
6000 KANAKANAK RD |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427099043 | Ronald Norbert Talaga | Family Medicine | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2006-06-08 |
| 1952388449 | Mitchell F Horan | Family Medicine | 6000 Kanakank, Dillingham, AK 99576-0130 | 2005-12-27 |
| 1760465181 | Juliana Christine Montooth | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| 1225491160 | Candace Summer Watts | Family Medicine | 6000 Kanakanak Road, Bbahc, Dillingham, AK 99576 | 2016-03-29 |
| 1821401423 | Kira Bendixen | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2014-06-11 |
| 1962842856 | Sarah Belensky De Almeida E Silva | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2013-06-25 |
| 1689873739 | Bristol Bay Area Health Corporation | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2007-07-17 |
| 1558301796 | Barbara L Riley | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2006-06-07 |
| 1497713572 | Barbara B Walis | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2006-05-01 |
| 1407831217 | Daniel James Oconnell | Family Medicine | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2005-12-14 |
| Find all providers in DILLINGHAM | ||||
| 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.