| Organization Name: | MANIILAQ ASSOCIATION |
| NPI Number: | 1316995210 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL JOHN HANSEN (DEPUTY ADMINISTRATOR) |
| Mailing Address: | 436 5th & Ted Stevens Way Kotzebue |
| State: | AK US |
| Postal Code: | 997520043 |
| Phone Number: | 9074423321 |
| Fax Number: | 9074427250 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 234051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |