NPIMap

Organization Active NPI

Bristol Bay Area Health Corporation

Doing business as Bristol Bay Counseling Center New Stuyahok Clinic

  • Community/Behavioral Health Agency
  • New Stuyahok, AK
National Provider Identifier
1104408525
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRISTOL BAY AREA HEALTH CORPORATION
Doing business as
Bristol Bay Counseling Center New Stuyahok Clinic
Practice address
Wallace Street
New Stuyahok, AK 99636
Phone
(907) 842-1230
Fax
(907) 842-9250
NPI assigned
Apr 26, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BRISTOL BAY AREA HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy Leeann Taylor
Title
Provider Enrollment Specialist
Phone
(907) 842-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

Wallace Street
New Stuyahok, AK 99636

Mailing address

PO Box 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Other names 1

  • Bristol Bay Counseling Center New Stuyahok Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bristol Bay Area Health Corportion43 organizations share this tax ID, including this one
Part of
Bristol Bay Area Health Corportion

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1104408525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "DILLINGHAM",
            "state": "AK",
            "postal_code": "995760130",
            "telephone_number": "907-842-5201",
            "fax_number": "907-842-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALLACE STREET",
            "city": "NEW STUYAHOK",
            "state": "AK",
            "postal_code": "99636",
            "telephone_number": "907-842-1230",
            "fax_number": "907-842-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL BAY AREA HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOL BAY AREA HEALTH CORPORATION",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "907-842-5201"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Bay Counseling Center New Stuyahok Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bristol Bay Counseling Center New Stuyahok Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Stuyahok, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.