Organization
MANIILAQ ASSOCIATION
Active
Other names
Maniilaq Medflight Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HANSEN (ADMINISTRATOR)
(907) 442-7150
Entity
Organization
Contact information
Practice address
733 SECOND AVE., KOTZEBUE, AK 99752
(907) 442-7150
(907) 442-7250
Mailing address
PO BOX 55, WATSONTOWN, PA 17777-0055
(570) 538-4488
(570) 538-1556
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
5040
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AA5040
—
AK
Enumeration date
11/06/2006
Last updated
08/22/2020
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