Maniilaq Health Center

LBN: Maniilaq Association
Maniilaq Health Center is an health care organization with primary practice located at 436 5Th & Ted Stevens Way , Kotzebue AK 99752. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Maniilaq Association can be contacted via phone (907) 442-3321, or through Hanson, Paul via phone (970) 442-3321.

Contact Information

Primary practice address
436 5Th & Ted Stevens Way Kotzebue AK 99752
Phone: (907) 442-3321
Fax: (907) 442-7250
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Paul
Phone: (970) 442-3321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 234051 Alaska

Profile Details

NPI number 1740484989
LBN Legal business name Maniilaq Association
DBA Doing business as Maniilaq Health Center
Authorized official Hanson, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740484989 NPPES
Alaska MEDICAID PH4146

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