Maniilaq Association
Clinic/Center, Rural Health in Kotzebue, AK. Organization (NPI-2).
NPI number1982808978
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982808978
- Entity type
- Organization (NPI-2)
- Legal business name
- Maniilaq Association
- Organization subpart
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | 234051 | AK | Yes |
Other names
- Maniilaq Health Center (Doing Business As)
Practice location
436 5th & Ted Stevens WayKotzebue, AK 99752
Phone 907-442-3321 · Fax 907-442-7250
Mailing address
Po Box 43Kotzebue, AK 99752-0043
Phone 907-442-3321 · Fax 907-442-7250
Authorized official
Paul Hanson
Administrator
9074423321
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