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Maniilaq Association

Organization Active NPI Clinic/Center · Buckland, AK

NPI 1043966567 · NPPES record last updated Mar 15, 2022

Key facts

NPI
1043966567
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
MANIILAQ ASSOCIATION
Practice address
9 Hillside Rd
Buckland, AK 99727
Phone
(907) 442-3321
Fax
(907) 442-7250
NPI assigned
Feb 23, 2022
Organization subpart
Yes
Parent organization (as reported)
MANIILAQ ASSOCIATION

Authorized official

Name
Gus Nelson
Title
Provider Enrollment Specialist
Phone
(907) 442-3321

Corporate family (same tax ID) 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Buckland Clinic (45 organizations share this tax ID)
Part of
Buckland Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

9 Hillside Rd
Buckland, AK 99727

Mailing address

PO Box 43
Kotzebue, AK 99752-0043
Phone (907) 442-3321

Other names

  • Buckland Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2022.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1043966567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520043",
            "telephone_number": "907-442-3321",
            "fax_number": "907-442-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HILLSIDE RD",
            "city": "BUCKLAND",
            "state": "AK",
            "postal_code": "99727",
            "telephone_number": "907-442-3321",
            "fax_number": "907-442-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIILAQ ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANIILAQ ASSOCIATION",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "907-442-3321"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckland Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckland, AK

All providers in Buckland, AK · Clinic/Center in Alaska

Sources for this page

Verify at the official NPI Registry.