| Mt Sanford Tribal Consortium | |
|
Mile Post 33 Tok Cutoff Chistochina AK 99586-0357 | |
| (907) 822-3280 | |
| (907) 822-3944 |
| Full Name | Mt Sanford Tribal Consortium |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | Mile Post 33 Tok Cutoff, Chistochina, Alaska |
| Authorized Official Name and Position | George Thomas Drinkwater (CHAP CLINIC DIRECTOR) |
| Authorized Official Contact | 9078225399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Sanford Tribal Consortium Po Box 357 Gakona AK 99586-0357 Ph: (907) 822-5399 | Mt Sanford Tribal Consortium Mile Post 33 Tok Cutoff Chistochina AK 99586-0357 Ph: (907) 822-3280 |
| NPI Number | 1427104959 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427104959 | NPI | - | NPPES |
| CL0143 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |