MANIILAQ ASSOCIATION; NPI #1386848273

Contact Information

MANIILAQ ASSOCIATION

436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752

Phone: 907-442-3321
Fax: 907-442-7250
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for MANIILAQ ASSOCIATION

NPI Number 1386848273

LBN Legal business name MANIILAQ ASSOCIATION

Authorized official PAUL HANSON - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/13/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

AK	License #	234051
AK	Medicaid	MDG126

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MANIILAQ ASSOCIATION

Contact Information

Specialty

Health Service

NPI Profile & details for MANIILAQ ASSOCIATION

Reviews for MANIILAQ ASSOCIATION