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Organization
MANIILAQ ASSOCIATION
Active
Organization
MANIILAQ ASSOCIATION
Active
Parent organization
MANIILAQ ASSOCIATION
Other names
Point Hope Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANIILAQ ASSOCIATION
Authorized official
GUS NELSON (PROVIDER ENROLLMENT SPECIALIST)
(907) 442-3321
Entity
Organization
Contact information
Practice address
1729 QALGI AVE, POINT HOPE, AK 99766
(907) 442-3321
(907) 442-7250
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/23/2022
Last updated
03/15/2022
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