NPIMap

Organization Active NPI

Maniilaq Association

  • Assisted Living Facility
  • Kotzebue, AK
National Provider Identifier
1134423759
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
234051 Issued in AK
Legal business name
MANIILAQ ASSOCIATION
Practice address
607 Wolverine Drive
Kotzebue, AK 99752-1073
Phone
(907) 442-7919
NPI assigned
Dec 23, 2010
Last updated
Dec 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ian Erlich, PRESIDENT/CEO
Title
President/Ceo
Phone
(907) 442-7634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 234051 AK Primary

Addresses

Primary practice location

607 Wolverine Drive
Kotzebue, AK 99752-1073

Mailing address

PO Box 1073
Kotzebue, AK 99752-1073
Phone (907) 442-7917

National Provider Directory

National Provider Directory
Tax ID family
Ambler Clinic45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1134423759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997521073",
            "telephone_number": "907-442-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WOLVERINE DRIVE",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997521073",
            "telephone_number": "907-442-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIILAQ ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "ERLICH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "907-442-7634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT/CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "234051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kotzebue, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.