Organization
MANIILAQ ASSOCIATION
Active
Organization
MANIILAQ ASSOCIATION
Active
Other names
Maniilaq Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JOHN HANSEN (ADMINISTRATOR)
(907) 442-3321
Entity
Organization
Contact information
Practice address
436 5TH AVENUE TED STEVENS WAY, KOTZEBUE, AK 99752-0043
(907) 442-7161
(907) 442-7307
Mailing address
436 5TH AVE. TED STEVEN'S WAY, PO BOX 43, KOTZEBUE, AK 99752
(907) 442-7161
(907) 442-7307
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
004-437-IV
AK
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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