Maniilaq Health Center | |
436 5th & Ted Stevens Way Kotzebue AK 99752 | |
(907) 442-3321 | |
(907) 442-7250 |
Full Name | Maniilaq Health Center |
---|---|
Speciality | Dentist |
Location | 436 5th & Ted Stevens Way, Kotzebue, Alaska |
Authorized Official Name and Position | Paul Hanson (ADMINISTRATOR) |
Authorized Official Contact | 9074423321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maniilaq Health Center Po Box 43 Kotzebue AK 99752-0043 Ph: (907) 442-3321 | Maniilaq Health Center 436 5th & Ted Stevens Way Kotzebue AK 99752 Ph: (907) 442-3321 |
NPI Number | 1518160464 |
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Provider Enumeration Date | 06/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518160464 | NPI | - | NPPES |
DDG111 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 234051 (Alaska) | Primary |
Maniilaq Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321 Fax: 907-442-7250 | |
Maniilaq Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321 Fax: 907-442-7250 |