OrganizationActive
Maniilaq Association
NPI 1225784762 · Clinic/Center · Kiana, AK
Provider details
- NPI number
- 1225784762
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Maniilaq Association
- Organization subpart
- Yes
- Authorized official
- Gus Nelson, Provider Enrollment Specialist(907) 442-3321
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
130 Casanoff Way
Kiana, AK 99749
Phone: (907) 442-3321
Fax: (907) 442-7250
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Kotzebue, AK 99752-0043
Other names (DBA / former)
- Doing business as
- Kiana Clinic
- Doing business as
- Kiana Clinic
Registry dates
- Enumerated
- 2022-02-23
- Last updated
- 2022-03-15
- Certified
- 2022-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.