MANIILAQ ASSOCIATION (NPI# 1497957278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497957278 |
| Entity Type | Organization |
| Organization Name | MANIILAQ ASSOCIATION |
| Other Organization Name | MANIILAQ HEALTH CENTER |
| Practice Address |
436 5th & Ted Stevens Way Kotzebue AK 99752 |
| Mailing Address |
Po Box 43 Kotzebue AK 99752-0043 |
| Practice Telephone | 9074423321 |
| Practice Fax Number | 9074427250 |
| Mailing Telephone | 9074423321 |
| Mailing Fax Number | 9074427250 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL HANSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9074423321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
234051 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DDG461 | 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 |
| 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 | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1437542594 | Raymond Reeves | Dentist | 216 Dalton Street, Suite 102, Haines, AK 99827 | 2015-03-13 |
| 1992877385 | Charles Richard Hazen | Dentist | 131 1st Ave. South, Haines, AK 99827-1529 | 2006-11-14 |
| 1255837720 | Joseph Robert Sem | Dentist | 1000 Greg Kruschek Ave, Nome, AK 99762-9976 | 2018-04-03 |
| 1770847642 | Roseann Marie Dameron | Dentist | 1717 West Cowles Street, Fairbanks, AK 99701-4803 | 2012-06-26 |
| 1720356520 | Amanda Shavings | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2011-12-07 |
| 1194018747 | Marc Desjarlais | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2011-05-16 |
| 1609031285 | Andrew James Wappett | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2008-07-23 |
| 1437233277 | Lucia Helena Nascimento | Dentist | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-10-25 |
| 1255362901 | Michael Richard Kwasinski | Dentist | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
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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.