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Contact Information

MANIILAQ
733 2ND AVE
KOTZEBUE, AK99752-0256
 Phone: 907-442-7640
 Fax: 907-442-7749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for MANIILAQ

NPI Number 1376991844
LBN Legal business name MANIILAQ
Authorized official RAYMOND COPPOCK - (COUNSLOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2016
Last updated 05/25/2016 - About 10 years ago
Identifiers n/a
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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