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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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