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Contact Information

MANIILAQ ASSOCIATION
436 5TH & TED STEVENS WAY
KOTZEBUE, AK99752
 Phone: 907-442-3321
 Fax: 907-442-7250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for MANIILAQ ASSOCIATION

NPI Number 1497957278
LBN Legal business name MANIILAQ ASSOCIATION
Authorized official PAUL HANSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK License # 234051
AK Medicaid DDG461
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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