# MANIILAQ ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MANIILAQ ASSOCIATION
- **Other names:** Point Hope Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093461667
- **Legal business name:** MANIILAQ ASSOCIATION
- **Authorized official:** GUS NELSON (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (907) 442-3321

## Contact information

- **Practice address:** 1729 QALGI AVE, POINT HOPE, AK 99766
- **Practice address phone:** (907) 442-3321
- **Practice address fax:** (907) 442-7250
- **Mailing address:** PO BOX 43, KOTZEBUE, AK 99752-0043
- **Mailing address phone:** (907) 442-3321
- **Mailing address fax:** (907) 442-7250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 03/15/2022