OrganizationActive
Maniilaq Association
NPI 1003026568 · Family Medicine Physician · Kotzebue, AK
Provider details
- NPI number
- 1003026568
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Hanson, Administrator(907) 442-3321
- License
- 234051 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
436 5th & Ted Stevens Way
Kotzebue, AK 99752
Phone: (907) 442-3321
Fax: (907) 442-7250
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Kotzebue, AK 99752-0043
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.