JAKE'S PLACE
NPI 1114050911
Substance Abuse Rehabilitation Facility in Dillingham, AK

Active since March 13, 2007
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576(907) 842-5201(907) 842-9250 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jake's Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE'S PLACE (NPI 1114050911) is a healthcare organization registered as a substance abuse rehabilitation facility in Dillingham, Alaska and active in the NPI registry since March 2007. The organization lists Robert J Clark, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1114050911
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBRISTOL BAY AREA HEALTH CORPORATION
Location Address6000 KANAKANAK ROADDillingham, AK 99576-0130
Mailing AddressPo Box 130Dillingham, AK 99576-0130 · (904) 842-5201 · Fax (904) 842-9250
Fax(907) 842-9250
Organization SubpartNo
Authorized OfficialRobert J ClarkChief Executive Officer · (907) 842-5201
Enumeration DateMarch 13, 2007
Last NPPES UpdateApril 4, 2013
NPI 1114050911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

6000 KANAKANAK ROAD, Dillingham, AK 99576

Other Names 1

Other NameJake's Place

Other Identifiers 1

MedicaidDA4432AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6000 KANAKANAK ROAD, MEDICAL STAFF OFFICE
DILLINGHAM, AK 99576
Pharmacist
6000 KANAKANAK ROAD, MEDICAL STAFF OFFICE
DILLINGHAM, AK 99576
Registered Nurse
6000 KANAKANAK ROAD
DILLINGHAM, AK 99576
Registered Nurse
6000 KANAKANAK ROAD
DILLINGHAM, AK 99576
Case Manager/Care Coordinator
6000 KANAKANAK ROAD
DILLINGHAM, AK 99576
Counselor (Addiction (Substance Use Disorder))
6000 KANAKANAK ROAD
DILLINGHAM, AK 99576
Registered Nurse (Case Management)
6000 KANAKANAK ROAD
DILLINGHAM, AK 99576
Case Manager/Care Coordinator
6000 KANAKANAK ROAD, MEDICAL STAFF OFFICE
DILLINGHAM, AK 99576

Frequently 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 1114050911. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is also known as Jake's Place.

Where is Bristol Bay Area Health Corporation located?

Bristol Bay Area Health Corporation is located at 6000 Kanakanak Road, Dillingham, 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 Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Bristol Bay Area Health Corporation was last updated on April 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.