NPI:
1265709901
Provider Name:
MANIILAQ ASSOCIATION
Doing Business As: KOBUK CLINIC
Classification:
Clinic/Center - 261QP0904X
Entity Type:
Organization
Specialization: Public Health, Federal
Address:
51003 MAIN ST.
KOBUK, AK
ZIP 99751
Phone:
(907) 948-2221
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MANIILAQ ASSOCIATION is a public health and federal clinic center in Kobuk, AK. MANIILAQ ASSOCIATION NPI is 1265709901. The provider is registered as an organization entity type.
The provider Is Doing Business As Kobuk Clinic.
The provider's business location address is:
51003 MAIN ST.
KOBUK, AK
ZIP 99751-003
Phone: (907) 948-2221
Fax: (907) 948-2199
The provider's authorized official is Paul John Hansen .
The authorized official title is Deputy Administrator and has the following contact phone number (907) 442-7150.
The enumeration date for this NPI number is 11/23/2011 and was last updated on 11/23/2011.