Bristol Bay Native Association
Organization Active NPI Case Management Agency · Dillingham, AK
NPI 1346422136 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1346422136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- BRISTOL BAY NATIVE ASSOCIATION
- Practice address
- 1000 Kanakanak Road
Dillingham, AK 99576-0310 - Phone
- (907) 842-5257
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Ralphy Andersen
- Title
- Chief Executive Officer
- Phone
- (907) 842-5257
Practitioners 1
-
Carolyn Smith, RN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
1000 Kanakanak Road
Dillingham, AK 99576-0310
Mailing address
PO Box 310
Dillingham, AK 99576-0310
Phone (907) 842-5257
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMG473 | Medicaid | AK |
Other providers in Dillingham, AK
- Bristol Bay Area Health Corporation
- Bristol Bay Area Health Corporation
- Bristol Bay Area Health Corporation
- Bristol Bay Area Health Corporation
- Bristol Bay Area Health Corporation
- Bronson Brito
- Barbara June Brown
- Clay Brown
- Katie Burley
- Deborah Ann Burton
All providers in Dillingham, AK · Case Management Agency in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.