SALLY HARVEY MEMORIAL CLINIC
NPI 1720355456
Clinic/Center - Public Health, Federal in Noorvik, AK

Active since November 23, 2011
1897 TUNDRA WAY, NOORVIK, AK 99763(907) 636-2103(907) 636-2195 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sally Harvey Memorial Clinic NPPES

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

SALLY HARVEY MEMORIAL CLINIC (NPI 1720355456) is a healthcare organization registered as a public health, federal in Noorvik, Alaska and active in the NPI registry since November 2011. The organization lists Paul John Hansen, Deputy Administrator, as its authorized official.

NPPES Registry Identity

NPI1720355456
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameMANIILAQ ASSOCIATION
Location Address1897 TUNDRA WAYNoorvik, AK 99763-0189
Mailing AddressP.o. Box 43Kotzebue, AK 99752-0043 · (907) 442-7150 · Fax (907) 442-7250
Fax(907) 636-2195
Organization SubpartYes
Authorized OfficialPaul John HansenDeputy Administrator · (907) 442-7150
Enumeration DateNovember 23, 2011
✔ NPI 1720355456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
1897 TUNDRA WAY, Noorvik, AK 99763

Other Names 1

Doing Business AsSally Harvey Memorial Clinic

Other Identifiers 2

Medicare OSCAR/certification021310AK
Medicare PINTEZ042AK

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Harvey Memorial Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

211

Medicare enrollment records show 211 clinicians reassign Medicare billing to Sally Harvey Memorial Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner50
Family Practice41
Emergency Medicine31
Certified Nurse Midwife (CNM)13
Internal Medicine12
Diagnostic Radiology10
Otolaryngology7
General Surgery6
14 other specialties41

Nearest to this location (20)

See all 211
Nurse Practitioner
NPI 1497623425
PO BOX 89
Noorvik, AK 99763
(252) 503-1399
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1770675738
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS41 mi
Family Practice
NPI 1144349051
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-7148
✔ PECOS✔ Accepts Medicare41 mi
Physical Therapist in Private Practice
NPI 1689956484
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-3321
41 mi
Certified Nurse Midwife (CNM)
NPI 1427093772
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-7148
✔ PECOS41 mi
Nurse Practitioner
NPI 1417075136
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-7148
✔ PECOS✔ Accepts Medicare41 mi
Family Practice
NPI 1205935210
436 5TH &TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-7202
✔ PECOS41 mi
Family Practice
NPI 1760666051
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS✔ Accepts Medicare41 mi
Certified Nurse Midwife (CNM)
NPI 1356658728
436 TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS41 mi
Family Practice
NPI 1811031156
436 TED STEVENS WAY MANIILAQ HEALTH CENTER
Kotzebue, AK 99752
(907) 442-7148
✔ PECOS✔ Accepts Medicare41 mi
Family Practice
NPI 1932434792
MANIILAQ HEALH CENTER BOX 43
Kotzebue, AK 99752
(907) 442-7387
✔ PECOS42 mi
Emergency Medicine
NPI 1093876138
436 5TH AVE
Kotzebue, AK 99752
(907) 442-7148
✔ PECOS✔ Accepts Medicare42 mi
Certified Nurse Midwife (CNM)
NPI 1811309040
436 5TH AVENUE AND TED STEVENS WAY
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS42 mi
Nurse Practitioner
NPI 1801546692
436 5TH ST
Kotzebue, AK 99752
(000) 000-0000
✔ PECOS✔ Accepts Medicare42 mi
Physical Therapist in Private Practice
NPI 1538761341
436 5TH AVENUE
Kotzebue, AK 99752
(907) 442-3321
42 mi
Optometry
NPI 1275089997
436 5TH AVENUE
Kotzebue, AK 99752
(907) 442-7275
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1285156448
436 5TH AVE
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS42 mi
Nurse Practitioner
NPI 1346717428
436 5TH AVE.
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1225683709
436 5TH AVE
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS✔ Accepts Medicare42 mi
Emergency Medicine
NPI 1417454554
436 5TH AVE
Kotzebue, AK 99752
(907) 442-3321
✔ PECOS42 mi
See all 211 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1720355456. It was assigned to this organization in the NPPES registry on November 23, 2011. The provider is doing business as Sally Harvey Memorial Clinic.

Where is Maniilaq Association located?

Maniilaq Association is located at 1897 Tundra Way, Noorvik, AK 99763. The listed phone number is (907) 636-2103.

What is Maniilaq Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

Is Maniilaq Association enrolled in Medicare?

Yes. Maniilaq Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maniilaq Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 211 clinicians in 22 Medicare specialties reassign their Medicare billing to Maniilaq Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (50), Family Practice (41) and Emergency Medicine (31). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maniilaq Association was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.