NPI: 1720355456
Provider Name: MANIILAQ ASSOCIATION
Doing Business As: SALLY HARVEY MEMORIAL CLINIC
Classification: Clinic/Center - 261QP0904X
Entity Type: Organization
Specialization: Public Health, Federal
Address:
1897 TUNDRA WAY
NOORVIK, AK
ZIP 99763
Phone: (907) 636-2103
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MANIILAQ ASSOCIATION is a public health and federal clinic center in Noorvik, AK. MANIILAQ ASSOCIATION NPI is 1720355456. The provider is registered as an organization entity type.
The provider Is Doing Business As Sally Harvey Memorial Clinic.
The provider's business location address is:
1897 TUNDRA WAY
NOORVIK, AK
ZIP 99763-189
Phone: (907) 636-2103
Fax: (907) 636-2195
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.