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

Active since October 17, 2007CLIA 02D2015005 · Waiver
722 SECOND AVE, KOTZEBUE, AK 99752(907) 442-7640(907) 442-7822 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maniilaq Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANIILAQ RECOVERY CENTER (NPI 1003005828) is a healthcare organization registered as a substance abuse rehabilitation facility in Kotzebue, Alaska and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Rocio Baquerizo, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1003005828
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMANIILAQ ASSOCIATION
Location Address722 SECOND AVEKotzebue, AK 99752-0256
Mailing Address722 Second AveKotzebue, AK 99752-0256 · (907) 442-7640 · Fax (907) 442-7822
Phone(907) 442-7640
Fax(907) 442-7822
Organization SubpartNo
Authorized OfficialRocio BaquerizoDeputy Director · (907) 442-7640
Enumeration DateOctober 17, 2007
✔ NPI 1003005828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
722 SECOND AVE, Kotzebue, AK 99752
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Other Names 1

Doing Business AsManiilaq Recovery Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2015005

Maniilaq Association · Kotzebue, AK
Active · expires Oct 19, 2026
CLIA Number02D2015005
Laboratory TypeHospital
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Robert Onders
Laboratory Phone(907) 422-3321
Laboratory LocationManiilaq Association436 5th Avenue, Kotzebue, AK 99752
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maniilaq Association's NPI number?

The NPI number for Maniilaq Association is 1003005828. It was assigned to this organization in the NPPES registry on October 17, 2007. The provider is doing business as Maniilaq Recovery Center.

Where is Maniilaq Association located?

Maniilaq Association is located at 722 Second Ave, Kotzebue, AK 99752. The listed phone number is (907) 442-7640.

What is Maniilaq Association's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Maniilaq Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2015005) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maniilaq Association was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.