MANIILAQ HEALTH CENTER – NPI #1386848273
Clinic/Center

MANIILAQ HEALTH CENTER is an AHC clinic located in KOTZEBUE, AK. NPPES has assigned the NPI number 1386848273 to MANIILAQ HEALTH CENTER on June 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MANIILAQ HEALTH CENTER” is a dba name, the actual legal business name for this organization is MANIILAQ ASSOCIATION. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 MANIILAQ HEALTH CENTER below.

NPI Profile for
MANIILAQ ASSOCIATION

NPI Number
1386848273
Enumeration Date

(about 19 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): MANIILAQ HEALTH CENTER
Primary location
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
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
No
Authorized Official
PAUL HANSON
ADMINISTRATOR
Phone: (907) 442-3321
Updated
Identifiers

Identifiers for MANIILAQ HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAKMDG126
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
261QH0100X
- Clinic/Center / Health Service (Primary)		 AK 234051

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.