Organization · Type 2 NPI

Maniilaq Association

Federal Public Health Clinic/Center · Noorvik, AK

NPI number 1720355456 Active

Practice location

1897 Tundra Way
Noorvik, AK 99763-0189

Call (907) 636-2103 Map

Fax (907) 636-2195

Mailing address

P.o. Box 43
Kotzebue, AK 99752-0043

Specialties and licenses

Taxonomy	Code	License
Federal Public Health Clinic/Center Primary	261QP0904X	None listed

Federal Public Health Clinic/Center: Definition to come...

7 other providers at this address

NPI record

NPI: 1720355456
Entity type: Organization (Type 2)
Issued: Nov 23, 2011
Last updated: Nov 23, 2011
Status: Active
Subpart: Yes of Maniilaq Association

Other names

<unavail>
Sally Harvey Memorial Clinic · doing business as

Authorized official

Mr. Paul John Hansen
Deputy Administrator
(907) 442-7150

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720355456

Maniilaq Association's National Provider Identifier is 1720355456, issued on Nov 23, 2011. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Noorvik, AK. The record was last updated on Nov 23, 2011.