# MANIILAQ ASSOCIATION

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

## Provider details

- **NPI number:** 1851595748
- **Authorized official:** PAUL HANSON (ADMINISTRATOR)
- **Authorized official phone:** (907) 442-3321

## Contact information

- **Practice address:** 436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752
- **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 |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 234051 | AK | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PH4146 | — | AK |