JAKE'S PLACE
NPI 1114050911
Substance Abuse Rehabilitation Facility in Dillingham, AK
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jake's Place 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 Jake's Place, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 22 within 10 miles. 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.
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.
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). Of these, 1 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jake's Place · NPI 1114050911
Substance Abuse Rehabilitation Facility organization in Dillingham, Alaska. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1114050911 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Legal business name:** Bristol Bay Area Health Corporation
- **Organization subpart:** No
- **Authorized official:** Robert Clark, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 6000 KANAKANAK ROAD, Dillingham, AK 99576-0130
- **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); 1 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1114050911/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2013
- **Other identifiers:** Medicaid DA4432 (AK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114050911) · Data from the CMS NPPES public registry.