NPIMap

Organization Active NPI

Bristol Bay Area Health Corporation

  • Community/Behavioral Health Agency
  • King Salmon, AK
National Provider Identifier
1861074205
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
357 Main Street
King Salmon, AK 99576-0130
Phone
(907) 842-1230
Fax
(907) 842-5174
NPI assigned
Apr 26, 2021
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

357 Main Street
King Salmon, AK 99576-0130

Mailing address

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

Other names 1

  • Bristol Bay Counseling Center King Salmon Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bristol Bay Area HLTH Corp42 organizations share this tax ID, including this one
Part of
Bristol Bay Area HLTH Corp

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1861074205",
    "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": "357 MAIN STREET",
            "city": "KING SALMON",
            "state": "AK",
            "postal_code": "995760130",
            "telephone_number": "907-842-1230",
            "fax_number": "907-842-5174"
        }
    ],
    "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 King Salmon Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bristol Bay Counseling Center King Salmon Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King Salmon, 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.