NPIMap

Organization Active NPI

Maniilaq Health Center

  • Primary Care Clinic/Center
  • Kotzebue, AK
National Provider Identifier
1568496602
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
157 Issued in AK
Legal business name
MANIILAQ HEALTH CENTER
Doing business as
Maniilaq Association
Practice address
436 & 5TH Ted Stevens Way
Kotzebue, AK 99752
Phone
(907) 442-2865
Fax
(907) 442-7233
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Patricia Clancy
Title
Medical Director
Phone
(907) 442-7380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 157 AK Primary

Addresses

Primary practice location

436 & 5TH Ted Stevens Way
Kotzebue, AK 99752

Mailing address

479 Ted Stevens Way
Apartment. B 8
Kotzebue, AK 99752
Phone (907) 442-2865

Other names 1

  • Maniilaq Association Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buckland 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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568496602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 TED STEVENS WAY",
            "address_2": "APARTMENT. B 8",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 & 5TH TED STEVENS WAY",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-2865",
            "fax_number": "907-442-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIILAQ HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "907-442-7380"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maniilaq Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.