Organization
MANIILAQ ASSOCIATION
Active
Other names
Shungnak Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE D TICKETT (CHP)
(907) 437-2138
Entity
Organization
Contact information
Practice address
32 BACK STREET, SHUNGNAK, AK 99773-0080
(907) 437-2138
(907) 437-2139
Mailing address
32 BACK STREET, SHUNGNAK, AK 99773-0080
(907) 437-2138
(907) 437-2139
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
AK
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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