NPIMap

Organization Active NPI

Bristol Bay Area Health Corporation

  • Community/Behavioral Health Agency
  • Chignik Lake, AK
National Provider Identifier
1396097614
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
Practice address
36 Alder Dr.
Chignik Lake, AK 99548-0036
Phone
(907) 845-2236
Fax
(907) 845-2353
NPI assigned
Oct 10, 2012
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

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 AK Primary

Addresses

Primary practice location

36 Alder Dr.
Chignik Lake, AK 99548-0036

Mailing address

P.O. Box 36
Chignik Lake, AK 99548
Phone (907) 845-2236

Other identifiers 1

IdentifierTypeStateIssuer
1114050911MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Bristol Bay Area Health Corportion42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1396097614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 36",
            "city": "CHIGNIK LAKE",
            "state": "AK",
            "postal_code": "99548",
            "telephone_number": "907-845-2236",
            "fax_number": "907-845-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ALDER DR.",
            "city": "CHIGNIK LAKE",
            "state": "AK",
            "postal_code": "995480036",
            "telephone_number": "907-845-2236",
            "fax_number": "907-845-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL BAY AREA HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "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": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114050911",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chignik Lake, 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.