| Maniilaq Association | |
|
733 2nd Ave Kotzebue AK 99752 | |
| (907) 442-7238 | |
| (907) 442-7403 |
| Full Name | Maniilaq Association |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 733 2nd Ave, Kotzebue, Alaska |
| Authorized Official Name and Position | Erin Jacobs (DIRECTOR OF PATIENT FINANCIAL SERVI) |
| Authorized Official Contact | 9074427238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maniilaq Association Po Box 43 Kotzebue AK 99752-0043 Ph: (907) 442-7238 | Maniilaq Association 733 2nd Ave Kotzebue AK 99752 Ph: (907) 442-7238 |
| NPI Number | 1699392258 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Certification Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699392258 | NPI | - | NPPES |
| 1021015 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7640 Fax: 907-442-7749 | |
Alaskans Changing Together, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 5th Ave, Kotzebue, AK 99752 Phone: 907-412-2882 | |
Maniilaq Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Second Street Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7648 Fax: 907-442-7821 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Second Ave, Kotzebue, AK 99752 Phone: 907-442-7640 Fax: 907-442-7822 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Avenue, Kotzebue, AK 99752 Phone: 907-442-7630 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 5th And Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321 |