<Unavail>

LBN: Maniilaq Association Ksccc
<Unavail> is an health care organization with primary practice located at 607 Wolverine Drive , Kotzebue AK 99752-1073. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Maniilaq Association Ksccc can be contacted via phone (907) 442-7917, or through Haas, Kellie B via phone (907) 442-7917.

Contact Information

Primary practice address
607 Wolverine Drive Kotzebue AK 99752-1073
Phone: (907) 442-7917
Fax: (907) 442-7932
Website:
Map and Directions
Authorized official contact:
Name: Haas, Kellie B Licensed Practical Nurse (LPN)
Phone: (907) 442-7917

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 234051 Alaska

Profile Details

NPI number 1366573685
LBN Legal business name Maniilaq Association Ksccc
DBA Doing business as <Unavail>
Authorized official Haas, Kellie B Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366573685 NPPES
Alaska MEDICAID CMG590

Popular Providers