| Maniilaq Association | |
|
80 Back St. Shungnak AK 99773-0080 | |
| (907) 437-2138 | |
| (907) 437-2139 |
| Full Name | Maniilaq Association |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 80 Back St., Shungnak, Alaska |
| Authorized Official Name and Position | Paul John Hansen (DEPUTY ADMINISTRATOR) |
| Authorized Official Contact | 9074427150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maniilaq Association P.o. Box 43 Kotzebue AK 99752-0043 Ph: (907) 442-7150 | Maniilaq Association 80 Back St. Shungnak AK 99773-0080 Ph: (907) 437-2138 |
| NPI Number | 1376810937 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376810937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
Maniilaq Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Back St, Shungnak, AK 99773 Phone: 907-442-3321 Fax: 907-442-7250 |