NPIMap

Organization Active NPI

Maniilaq Association

Doing business as Ambler Clinic

  • Clinic/Center
  • Ambler, AK
National Provider Identifier
1730835240
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MANIILAQ ASSOCIATION
Doing business as
Ambler Clinic
Practice address
110 Main St
Ambler, AK 99786
Phone
(907) 442-3321
Fax
(907) 442-7250
NPI assigned
Feb 23, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MANIILAQ ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

110 Main St
Ambler, AK 99786

Mailing address

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

Other names 1

  • Ambler Clinic Doing business as

National Provider Directory

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

Other organizations with this tax ID 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1730835240",
    "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": "110 MAIN ST",
            "city": "AMBLER",
            "state": "AK",
            "postal_code": "99786",
            "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": "Ambler Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambler Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.