KOBUK CLINIC
NPI 1235885641
Clinic/Center in Kobuk, AK

Active since February 24, 2022
51003 MAIN ST, KOBUK, AK 99751(907) 442-3321(907) 442-7250 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About KOBUK CLINIC

This page provides the complete NPI Profile along with additional information for Kobuk Clinic, a provider established in Kobuk, Alaska operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1235885641 assigned on February 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Kobuk Clinic. The authorized official of this NPI record is Gus Nelson (Provider Enrollment Specialist)

NPI
1235885641 Verify this NPI
Provider Legal Name
MANIILAQ ASSOCIATION
Other Organization Name
KOBUK CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
51003 MAIN ST KOBUK, AK 99751
Location Phone
(907) 442-3321
Location Fax
(907) 442-7250
Mailing Address
PO BOX 43 KOTZEBUE, AK 99752
Mailing Phone
(907) 442-3321
Mailing Fax
(907) 442-7250
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-24-2022
Last Update Date
03-15-2022
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GUS NELSON

Authorized Official Title
PROVIDER ENROLLMENT SPECIALIST
Authorized Official Phone
(907) 442-3321

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235885641, enumerated as an "organization" on February 24, 2022.

The provider is located at 51003 MAIN ST KOBUK, AK 99751 and the phone number is (907) 442-3321.

Clinic/Center with taxonomy code 261Q00000X.