MANIILAQ ASSOCIATION (NPI# 1205164332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205164332 |
| Entity Type | Organization |
| Organization Name | MANIILAQ ASSOCIATION |
| Practice Address |
435 Second Street Ted Stevens Way Kotzebue AK 99752-0256 |
| Mailing Address |
P.o. Box 256 435 Second Street Ted Stevens Way Kotzebue AK 99752-0256 |
| Practice Telephone | 9074427640 |
| Mailing Telephone | 9074427640 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | MISS LORI ATORUK (COUNSELOR TRAINEE) |
| Authorized Official Telephone | 9074752291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376810937 | Maniilaq Association | Clinic/Center | 80 Back St., Shungnak, AK 99773-0080 | 2011-11-28 |
| 1700153442 | Maniilaq Association | Clinic/Center | 8 Bering St., Kivalina, AK 99750-0008 | 2011-11-23 |
| 1265709901 | Maniilaq Association | Clinic/Center | 51003 Main St., Kobuk, AK 99751-0003 | 2011-11-23 |
| 1639446347 | Maniilaq Association | Clinic/Center | 9 Hillside Rd., Buckland, AK 99727-0009 | 2011-11-23 |
| 1639446362 | Maniilaq Association | Clinic/Center | 90 Aaksaik Rd., Noatak, AK 99761-0090 | 2011-11-23 |
| 1285901918 | Maniilaq Association | Clinic/Center | 1729 Qalgi Ave., Pt. Hope, AK 99766-0049 | 2011-11-23 |
| 1720355456 | Maniilaq Association | Clinic/Center | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2011-11-23 |
| 1255608998 | Maniilaq Association | Clinic/Center | 130 Casanoff Way, Kiana, AK 99749-0130 | 2011-11-23 |
| 1821365552 | Maniilaq Association | Clinic/Center | #3 Adams Landing-old, Selawik, AK 99770 | 2011-11-23 |
| 1518240084 | Maniilaq Association | Skilled Nursing Facility | 436 Mission St, Kotzebue, AK 99752-0510 | 2011-09-21 |
| Street Address |
435 SECOND STREET TED STEVENS WAY |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752-0256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679799977 | Maniilaq Association | Counselor | 435 Second Street Ted Stevens Way, Kotzebue, AK 99752-0256 | 2007-04-17 |
| 1851532782 | Duane Gene Powers | Counselor | 435 Second Street Ted Stevens Way, Kotzebue, AK 99752-0256 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003005828 | Maniilaq Association | Substance Abuse Rehabilitation Facility | 722 Second Ave, Kotzebue, AK 99752-0256 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220012 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 51310 Timber Bay Court, Homer, AK 99603-9968 | 2019-11-21 |
| 1811532575 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-16 |
| 1992281034 | Akeela Inc | Substance Abuse Rehabilitation Facility | 2804 Bering St, Anchorage, AK 99503-3820 | 2018-07-12 |
| 1508393869 | Ground Zero Wellness Center | Substance Abuse Rehabilitation Facility | 4670 Killen Ln, Fairbanks, AK 99709-3325 | 2017-05-17 |
| 1306394960 | Akeela Inc | Substance Abuse Rehabilitation Facility | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2016-09-13 |
| 1730582446 | Starting Point | Substance Abuse Rehabilitation Facility | 230 E Paulson Ave, 76, Wasilla, AK 99654-7001 | 2014-10-08 |
| 1518158245 | Norton Sound Regional Hospital | Substance Abuse Rehabilitation Facility | 3rd Ave, Unalakleet, AK 99684 | 2007-08-07 |
| 1184814667 | Norton Sound Health Corp | Substance Abuse Rehabilitation Facility | 305 5th & Bering Street, Nome, AK 99762 | 2007-07-31 |
| 1205036548 | Norton Sound Health Corporation | Substance Abuse Rehabilitation Facility | 306 5th Ave. W, Nome, AK 99762 | 2007-07-24 |
| 1124147905 | The Salvation Army Clitheroe Center - Dual Diagnosis | Substance Abuse Rehabilitation Facility | 8000 W End Rd, Anchorage, AK 99519 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.