# MANIILAQ HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maniilaq Association
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568496602
- **Authorized official:** PATRICIA CLANCY (MEDICAL DIRECTOR)
- **Authorized official phone:** (907) 442-7380

## Contact information

- **Practice address:** 436 & 5TH TED STEVENS WAY, KOTZEBUE, AK 99752
- **Practice address phone:** (907) 442-2865
- **Practice address fax:** (907) 442-7233
- **Mailing address:** 479 TED STEVENS WAY, APARTMENT. B 8, KOTZEBUE, AK 99752
- **Mailing address phone:** (907) 442-2865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 157 | AK | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 07/21/2022