KOBUK CLINIC – NPI #1235885641
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

KOBUK CLINIC is an AHC clinic located in KOBUK, AK. NPPES has assigned the NPI number 1235885641 to KOBUK CLINIC on February 24, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KOBUK CLINIC” is a dba name, the actual legal business name for this organization is MANIILAQ ASSOCIATION. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 4 years ago on Mar 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KOBUK CLINIC below.

NPI Profile for
MANIILAQ ASSOCIATION

NPI Number
1235885641
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANIILAQ ASSOCIATION
Doing Business As (dba): KOBUK CLINIC
Primary location
51003 MAIN ST
KOBUK, AK 99751
Phone: (907) 442-3321 Fax: (907) 442-7250
Mailing address
PO BOX 43
KOTZEBUE, AK 99752-0043
Phone: (907) 442-3321 Fax: (907) 442-7250
Organization Subpart
Yes - KOBUK CLINIC is subpart of another organization.
Authorized Official
GUS NELSON
PROVIDER ENROLLMENT SPECIALIST
Phone: (907) 442-3321
Updated
Certification Date
Mar 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.