MANIILAQ ASSOCIATION NPI 1821365552

NPI Information

NPI: 1821365552
Provider Name: MANIILAQ ASSOCIATION

Doing Business As: SELAWIK CLINIC

Classification: Clinic/Center - 261QP0904X
Entity Type: Organization

Specialization: Public Health, Federal

Address:
#3 ADAMS LANDING-OLD
SELAWIK, AK
ZIP 99770
Phone: (907) 484-2199
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MANIILAQ ASSOCIATION is a public health and federal clinic center in Selawik, AK. MANIILAQ ASSOCIATION NPI is 1821365552. The provider is registered as an organization entity type.
The provider Is Doing Business As Selawik Clinic.

The provider's business location address is:

#3 ADAMS LANDING-OLD
SELAWIK, AK
ZIP 99770
Phone: (907) 484-2199
Fax: (907) 484-2119

The provider's authorized official is Paul John Hansen .
The authorized official title is Deputy Administrator and has the following contact phone number (907) 445-7150.

The enumeration date for this NPI number is 11/23/2011 and was last updated on 11/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0904X	Clinic/Center	Public Health, Federal			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TEZ042	MEDICARE PIN	ALASKA
2	021310	MEDICARE OSCAR/CERTIFICATION	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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