MANIILAQ RECOVERY CENTER NPI 1003005828
Substance Abuse Rehabilitation Facility in Kotzebue, AK

Organization Substance Abuse Rehabilitation Facility

About MANIILAQ RECOVERY CENTER

Maniilaq Recovery Center is a provider established in Kotzebue, Alaska specializing in Substance Abuse Rehabilitation Facility. The NPI number of Maniilaq Recovery Center is 1003005828 and was assigned on October 2007. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Maniilaq Recovery Center. The authorized official of this NPI record is Mr. Rocio Baquerizo (Deputy Director)

NPI
1003005828
Provider NameMANIILAQ RECOVERY CENTER
Provider Location Address722 SECOND AVE KOTZEBUE, AK 99752
Provider Mailing Address722 SECOND AVE KOTZEBUE, AK 99752
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMANIILAQ RECOVERY CENTER
Other Name TypeDoing Business As (3)
Enumeration Date10-17-2007
Last Update Date10-17-2007


Primary Taxonomy

Taxonomy Code324500000X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
License StateAK
Taxonomy DescriptionA 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.

Business Address

MANIILAQ RECOVERY CENTER
722 SECOND AVE
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-7640
Fax: (907) 442-7822

Get Directions


Mailing Address

MANIILAQ RECOVERY CENTER
722 SECOND AVE
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-7640
Fax: (907) 442-7822


Authorized Official

Authorized Official NameMR. ROCIO BAQUERIZO
Authorized Official TitleDEPUTY DIRECTOR
Authorized Official Phone(907) 442-7640

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityNo

Taxonomy Description: 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.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003005828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 8 + 4 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003005828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Maniilaq Recovery Center is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.