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Organization
MANIILAQ ASSOCIATION
Active
Organization
MANIILAQ ASSOCIATION
Active
Parent organization
MANIILAQ ASSOCIATION
Other names
Maniilaq Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANIILAQ ASSOCIATION
Authorized official
MR. PAUL JOHN HANSEN (DEPUTY ADMINISTRATOR)
(907) 442-7150
Entity
Organization
Contact information
Practice address
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Mailing address
P.O. BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
234051
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS19IP
—
AK
05
—
HS19OP
—
AK
Enumeration date
05/04/2006
Last updated
10/19/2011
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