Jake'S Place

LBN: Bristol Bay Area Health Corporation
Jake'S Place is an health care organization with primary practice located at 6000 Kanakanak Road , Dillingham AK 99576-0130. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Bristol Bay Area Health Corporation can be contacted via phone (907) 842-5201, or through Clark, Robert J via phone (907) 842-5201.

Contact Information

Primary practice address
6000 Kanakanak Road Dillingham AK 99576-0130
Phone: (907) 842-5201
Fax: (907) 842-9250
Website:
Map and Directions
Authorized official contact:
Name: Clark, Robert J
Phone: (907) 842-5201

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1114050911
LBN Legal business name Bristol Bay Area Health Corporation
DBA Doing business as Jake'S Place
Authorized official Clark, Robert J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114050911 NPPES
Alaska MEDICAID DA4432

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