KOLIGANEK CLINIC
NPI 1013079607
Clinic/Center in Koliganek, AK
About Koliganek Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOLIGANEK CLINIC (NPI 1013079607) is a healthcare organization registered as a clinic/center in Koliganek, Alaska and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Robert Clark, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Koliganek Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
358Medicare enrollment records show 358 clinicians reassign Medicare billing to Koliganek Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 358Dillingham, AK 99576
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 02D0668921
Bristol Bay Area Health Corporation · Dillingham, AKFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bristol Bay Area Health Corporation's NPI number?
The NPI number for Bristol Bay Area Health Corporation is 1013079607. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is also known as Koliganek Clinic.
Where is Bristol Bay Area Health Corporation located?
Bristol Bay Area Health Corporation is located at 5060 Main Street, Koliganek, AK 99576. The listed phone number is (907) 842-5201.
What is Bristol Bay Area Health Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Bristol Bay Area Health Corporation enrolled in Medicare?
Yes. Bristol Bay Area Health Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bristol Bay Area Health Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 358 clinicians in 24 Medicare specialties reassign their Medicare billing to Bristol Bay Area Health Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (76), Nurse Practitioner (68) and Diagnostic Radiology (50). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bristol Bay Area Health Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 02D0668921) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bristol Bay Area Health Corporation was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Koliganek Clinic · NPI 1013079607
Clinic/Center organization in Koliganek, Alaska. Organization record, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1013079607 (Entity type: Organization)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Bristol Bay Area Health Corporation
- **Organization subpart:** No
- **Authorized official:** Robert Clark, CEO
## Practice location
- **Address:** 5060 MAIN STREET, Koliganek, AK 99576
- **Phone:** (907) 842-5201 · **Fax:** (907) 842-9250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 358 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (76), Nurse Practitioner (68), Diagnostic Radiology (50); [full list](https://npiprofile.com/npi/1013079607/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2023
- **Other identifiers:** Medicaid 1020782 (AK); Other TEZ153 (AK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013079607) · Data from the CMS NPPES public registry.