MANIILAQ HEALTH CENTER; NPI #1568496602

Contact Information

MANIILAQ HEALTH CENTER

436 & 5TH TED STEVENS WAY
KOTZEBUE, AK 99752

Phone: 907-442-2865
Fax: 907-442-7233
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for MANIILAQ HEALTH CENTER

NPI Number 1568496602

LBN Legal business name MANIILAQ HEALTH CENTER

Authorized official PATRICIA CLANCY - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/11/2006

Last updated 07/21/2022 - About 4 years ago

Identifiers

License #

157

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 HEALTH CENTER

Contact Information

Specialty

Primary Care

NPI Profile & details for MANIILAQ HEALTH CENTER

Reviews for MANIILAQ HEALTH CENTER