National Provider Identifier Database

MANIILAQ ASSOCIATION
Clinic/Center

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).


Contact Information

MANIILAQ ASSOCIATION
130 CASANOFF WAY
KIANA, AK99749
Phone: 907-442-3321
Fax: 907-442-7250
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MANIILAQ ASSOCIATION

NPI Number 1225784762
Legal business name
LBN
MANIILAQ ASSOCIATION
Authorized official GUS NELSON - (PROVIDER ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 02/23/2022
Last updated 03/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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