Maniilaq Association

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

RL3590 Issued in AK

Legal business name

MANIILAQ ASSOCIATION

Practice address

733 Second Avenue
Ferguson Building
Kotzebue, AK 99752-0256

Phone

(907) 442-3321

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ian Erlich

Title

President/Ceo

Phone

(907) 442-3312

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ashley Evelyn Nies, LPC-S, CDC-1

  • Professional Counselor
  • Kotzebue, AK
  • NPI 1215430350
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1730481334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#256 2ND AVENUE",
            "address_2": "F.R.FERGUSON BUILDING",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SECOND AVENUE",
            "address_2": "FERGUSON BUILDING",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520256",
            "telephone_number": "907-442-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIILAQ ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "ERLICH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "907-442-3312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AK",
            "license": "RL3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association
• Maniilaq Association

• Physical Disabilities Residential Treatment Facility in Kotzebue, AK
• Providers in Kotzebue, AK by specialty
• Physical Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.