SELAWIK CLINIC (MANIILAQ ASSOCIATION) NPI 1821365552

Clinic/Center (Public Health, Federal) in Selawik, AK

NPI 1821365552 Organization Clinic/Center Public Health, Federal

About SELAWIK CLINIC (MANIILAQ ASSOCIATION)

Selawik Clinic (maniilaq Association) is a primary care provider established in Selawik, Alaska specializing in clinic/center (public health, federal) . The NPI number of Selawik Clinic (maniilaq Association) is 1821365552 and was assigned on November 2011. The practitioner's primary taxonomy code is 261QP0904X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Selawik Clinic. The authorized official of this NPI record is Mr. Paul John Hansen (Deputy Administrator)

A primary care provider (PCP) like Selawik Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1821365552

Provider NameSELAWIK CLINIC (MANIILAQ ASSOCIATION)
Provider Location Address#3 ADAMS LANDING-OLD SELAWIK, AK 99770
Provider Mailing AddressP.O. BOX 43 KOTZEBUE, AK 99752
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameSELAWIK CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date11-23-2011
Last Update Date11-23-2011


Primary Taxonomy

Taxonomy Code261QP0904X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPublic Health, Federal

Business Address

SELAWIK CLINIC
#3 ADAMS LANDING-OLD
SELAWIK, AK
ZIP 99770
Phone: (907) 484-2199
Fax: (907) 484-2119

Get Directions


Mailing Address

SELAWIK CLINIC
P.O. BOX 43
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-7150
Fax: (907) 442-7250



Authorized Official

Authorized Official NameMR. PAUL JOHN HANSEN
Authorized Official TitleDEPUTY ADMINISTRATOR
Authorized Official Phone(907) 445-7150

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
TEZ042MEDICARE PIN (08)AK
021310MEDICARE OSCAR/CERTIFICATION (06)AK

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326315813 HERBERT DARREN NAZURUK CHA III
Individual
Community Health Worker#3 ADAMS LANDING-OLD
SELAWIK, AK 99770
(907) 484-2199
1780951277 JENNY C CLEVELAND
Individual
Community Health Worker#3 ADAMS LANDING-OLD
SELAWIK, AK 99770
(907) 484-2199
1417224908 KRYSTAL SUZANNE BALLOT CHP
Individual
Community Health Worker#3 ADAMS LANDING-OLD
SELAWIK, AK 99770
(907) 484-2199

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
The code describing 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.