Organization
MANIILAQ ASSOCIATION
Active
Parent organization
MANIILAQ ASSOCIATION
Other names
Tigautchiaq Amainiq Health Clinic
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
9 HILLSIDE RD., BUCKLAND, AK 99727-0009
(907) 494-2122
(907) 494-2104
Mailing address
P.O. BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-7150
(907) 442-7250
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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