NPI 1255478806
Maniilaq Association
Practice location
- Address
- 32 Back Street, Shungnak, AK 99773-0080
- Phone
- (907) 437-2138
- Fax
- (907) 437-2139
Authorised official
- Name
- Charlene D Tickett
- Title
- Chp
- Phone
- (907) 437-2138
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1255478806
- Entity type
- Organization
- NPI issued
- 31 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.