MANIILAQ ASSOCIATION (NPI# 1720355456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720355456 |
| Entity Type | Organization |
| Organization Name | MANIILAQ ASSOCIATION |
| Other Organization Name | SALLY HARVEY MEMORIAL CLINIC |
| Practice Address |
1897 Tundra Way Noorvik AK 99763-0189 |
| Mailing Address |
P.o. Box 43 Kotzebue AK 99752-0043 |
| Practice Telephone | 9076362103 |
| Practice Fax Number | 9076362195 |
| Mailing Telephone | 9074427150 |
| Mailing Fax Number | 9074427250 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |
| 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 | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sally Harvey Memorial Clinic | 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 |
| 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 |
| 1730481334 | Maniilaq Association | Residential Treatment Facility, Physical Disabilities | 733 Second Avenue, Ferguson Building, Kotzebue, AK 99752-0256 | 2010-12-02 |
| Street Address |
1897 TUNDRA WAY |
| City | NOORVIK |
| State | AK |
| Zip Code | 99763-0189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513320 | Ellen Rose Coffin | Community Health Worker | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2018-06-29 |
| 1114295730 | Carol Sophia Field | Community Health Worker | 1897 Tundra Way, Box 189, Noorvik, AK 99763-0189 | 2011-12-09 |
| 1306114970 | Audrey Louise Beasley | Community Health Worker | 1897 Tundra Way, Noorvik, AK 99763 | 2011-12-09 |
| 1225306319 | Cynthia Ann Coffin | Community Health Worker | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2011-12-05 |
| 1841567328 | Dorothy Lydia Brown | Community Health Worker | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2011-11-28 |
| 1598032088 | Flora M Newlin | Community Health Worker | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245696657 | Jessica Stalker | Counselor | 733 2nd Ave, Noorvik, AK 99763 | 2016-01-14 |
| 1184087488 | Kathryn Sawyer | Pharmacist | 1000 Greg Kruschek Ave, Nome, AK 99763-9999 | 2016-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245696657 | Jessica Stalker | Counselor | 733 2nd Ave, Noorvik, AK 99763 | 2016-01-14 |
| 1306114970 | Audrey Louise Beasley | Community Health Worker | 1897 Tundra Way, Noorvik, AK 99763 | 2011-12-09 |
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| 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 |
| 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 |
| 1508133240 | Maniilaq Association | Clinic/Center | 23 Main Street, Deering, AK 99736-0023 | 2011-11-23 |
| 1427325133 | Maniilaq Association | Clinic/Center | 110 Main Street, Ambler, AK 99786-0110 | 2011-11-23 |
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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.