MANIILAQ RECOVERY CENTER
NPI 1003005828
Substance Abuse Rehabilitation Facility in Kotzebue, AK
NPI Status: Active since October 17, 2007
Contact Information
722 SECOND AVE
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-7640
Fax: (907) 442-7822
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 02D2015005
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-19-2026
About MANIILAQ RECOVERY CENTER
This page provides the complete NPI Profile along with additional information for Maniilaq Recovery Center, a provider established in Kotzebue, Alaska operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1003005828 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 19 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 Legal Name
- MANIILAQ ASSOCIATION
- Other Organization Name
- MANIILAQ RECOVERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 722 SECOND AVE KOTZEBUE, AK 99752
- Location Phone
- (907) 442-7640
- Location Fax
- (907) 442-7822
- Mailing Address
- 722 SECOND AVE KOTZEBUE, AK 99752
- Mailing Phone
- (907) 442-7640
- Mailing Fax
- (907) 442-7822
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2007
- Last Update Date
- 10-17-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License State
- AK
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D2015005
- Facility Type
- Hospital
- Certificate Effective Date
- October 20, 2024
- Certificate Expiration Date
- October 19, 2026
- Laboratory Director
- DR. ROBERT ONDERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Maniilaq Recovery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003005828, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 42 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003005828, enumerated as an "organization" on October 17, 2007.
The provider is located at 722 SECOND AVE KOTZEBUE, AK 99752 and the phone number is (907) 442-7640.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
