EGEGIK CLINIC
NPI 1699836007
Clinic/Center in Egegik, AK

Active since December 12, 2006
114 MAIN STREET, EGEGIK, AK 99579(907) 842-5201(907) 842-9250 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About EGEGIK CLINIC

This page provides the complete NPI Profile along with additional information for Egegik Clinic, a provider established in Egegik, Alaska operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1699836007 assigned on December 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Egegik Clinic. The authorized official of this NPI record is Mr. Robert J Clark (Ceo)

NPI
1699836007 Verify this NPI
Provider Legal Name
BRISTOL BAY AREA HEALTH CORPORATION
Other Organization Name
EGEGIK CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
114 MAIN STREET EGEGIK, AK 99579
Location Phone
(907) 842-5201
Location Fax
(907) 842-9250
Mailing Address
PO BOX 130 DILLINGHAM, AK 99576
Mailing Phone
(907) 842-5201
Mailing Fax
(907) 842-9250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2006
Last Update Date
10-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT J CLARK

Authorized Official Title
CEO
Authorized Official Phone
(907) 842-5201

Reviews for EGEGIK CLINIC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
114 MAIN STREET
EGEGIK, AK 99579

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699836007, enumerated as an "organization" on December 12, 2006.

The provider is located at 114 MAIN STREET EGEGIK, AK 99579 and the phone number is (907) 842-5201.

Clinic/Center with taxonomy code 261Q00000X.