MANIILAQ ASSOCIATION (NPI# 1316995210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316995210 |
| Entity Type | Organization |
| Organization Name | MANIILAQ ASSOCIATION |
| Other Organization Name | MANIILAQ HEALTH CENTER |
| Practice Address |
436 5th & Ted Stevens Way Kotzebue AK 99752-0043 |
| Mailing Address |
P.o. Box 43 Kotzebue AK 99752-0043 |
| Practice Telephone | 9074423321 |
| Practice Fax Number | 9074427250 |
| Mailing Telephone | 9074423321 |
| Mailing Fax Number | 9074427250 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | MR. PAUL JOHN HANSEN (DEPUTY ADMINISTRATOR) |
| Authorized Official Telephone | 9074427150 |
| Is Organization Subpart | Y |
| Parent Organization Name | MANIILAQ ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
234051 | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HS19OP | 05 | |
| AK | HS19IP | 05 |
| Other Name | Type Code |
|---|---|
| Maniilaq Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376810937 | Maniilaq Association | Clinic/Center | 80 Back St., Shungnak, AK 99773-0080 | 2011-11-28 |
| 1700153442 | Maniilaq Association | Clinic/Center | 8 Bering St., Kivalina, AK 99750-0008 | 2011-11-23 |
| 1265709901 | Maniilaq Association | Clinic/Center | 51003 Main St., Kobuk, AK 99751-0003 | 2011-11-23 |
| 1639446347 | Maniilaq Association | Clinic/Center | 9 Hillside Rd., Buckland, AK 99727-0009 | 2011-11-23 |
| 1639446362 | Maniilaq Association | Clinic/Center | 90 Aaksaik Rd., Noatak, AK 99761-0090 | 2011-11-23 |
| 1285901918 | Maniilaq Association | Clinic/Center | 1729 Qalgi Ave., Pt. Hope, AK 99766-0049 | 2011-11-23 |
| 1720355456 | Maniilaq Association | Clinic/Center | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2011-11-23 |
| 1255608998 | Maniilaq Association | Clinic/Center | 130 Casanoff Way, Kiana, AK 99749-0130 | 2011-11-23 |
| 1821365552 | Maniilaq Association | Clinic/Center | #3 Adams Landing-old, Selawik, AK 99770 | 2011-11-23 |
| 1518240084 | Maniilaq Association | Skilled Nursing Facility | 436 Mission St, Kotzebue, AK 99752-0510 | 2011-09-21 |
| Street Address |
436 5TH & TED STEVENS WAY |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752-0043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789002 | Robert Perchik | Emergency Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2005-12-01 |
| 1154706703 | Amy June Carter | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2015-07-24 |
| 1306221239 | Vivian Belle Shellabarger | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2015-07-21 |
| 1386028876 | Natasha Cannon | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2015-07-14 |
| 1487058152 | Elsie Mary Dexter | Community Health Worker | 436 5th & Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752-0043 | 2014-10-09 |
| 1841629375 | John Daniel Parr | Emergency Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2013-11-05 |
| 1932476413 | June T Ballot | Community Health Worker | 436 5th & Ted Stevens Way, Box 43, Kotzebue, AK 99752-0043 | 2011-11-28 |
| 1750667994 | Sheila Ann Gregg | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2011-11-02 |
| 1689956484 | Hans Justin Hansen | Physical Therapist | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2011-09-16 |
| 1760666051 | Erick Torres Semprit | Family Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295855666 | Norton Sound Health Corp | General Acute Care Hospital | Nshc, 306 W 5th, Nome, AK 99762 | 2007-03-30 |
| 1306933643 | Arctic Slope Native Association Ltd | General Acute Care Hospital | 7000 Uula Street, Barrow, AK 99723 | 2006-10-06 |
| 1518955731 | Wrangell Medical Center | General Acute Care Hospital | 310 Bennett Street, Wrangell, AK 99929-1081 | 2005-10-11 |
| 1013905660 | Providence Health & Services Washington | General Acute Care Hospital | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2005-10-07 |
| 1871996975 | Norton Sound Health Corp Physical Teraphy | General Acute Care Hospital | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2014-10-02 |
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1588902027 | Norton Sound Health Corp | General Acute Care Hospital | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2013-01-17 |
| 1487898110 | Searhc Mt Edcumbe Hospital | General Acute Care Hospital | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-04-24 |
| 1962688309 | Bristol Bay Area Health Corporation | General Acute Care Hospital | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2008-01-16 |
| 1578758744 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-09-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.