Organization · Type 2 NPI

Bristol Bay Area Health Corporation

Community/Behavioral Health Agency · King Salmon, AK

NPI number 1861074205 Active

Practice location

357 Main Street
King Salmon, AK 99576-0130

Call (907) 842-1230 Map

Fax (907) 842-5174

Mailing address

PO Box 130
Dillingham, AK 99576-0130

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

NPI record

NPI: 1861074205
Entity type: Organization (Type 2)
Issued: Apr 26, 2021
Last updated: Apr 30, 2021
Status: Active
Subpart: Yes of Bristol Bay Area Health Corporation

Other names

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Bristol Bay Counseling Center King Salmon Clinic · doing business as
Bristol Bay Counseling Center King Salmon Clinic · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861074205

Bristol Bay Area Health Corporation's National Provider Identifier is 1861074205, issued on Apr 26, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in King Salmon, AK. The record was last updated on Apr 30, 2021.