BRISTOL BAY BOROUGH NPI 1629105804

NPI Information

BRISTOL BAY BOROUGH is a federally qualified health center (fqhc) clinic center in Naknek, AK. BRISTOL BAY BOROUGH NPI is 1629105804. The provider is registered as an organization entity type.
The provider Is Doing Business As Camai Community Health Center.

The provider's business location address is:

2 SCHOOL ROAD
NAKNEK, AK
ZIP 99633-211
Phone: (907) 246-6155
Fax: (907) 246-6158

The provider's authorized official is Susan Cox .
The authorized official title is Executive Director and has the following contact phone number (907) 246-6155.

The CLIA number assigned to this NPI record is 02D0641830 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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