Mt Sanford Tribal Consortium | |
Mile 7 Mentasta Road Mentasta AK 99780 | |
(907) 291-2320 | |
(907) 291-2308 |
Full Name | Mt Sanford Tribal Consortium |
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Speciality | Clinic/center - Community Health |
Location | Mile 7 Mentasta Road, Mentasta, 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 |
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Mt Sanford Tribal Consortium Po Box 357 Gakona AK 99586-0357 Ph: (907) 822-5399 | Mt Sanford Tribal Consortium Mile 7 Mentasta Road Mentasta AK 99780 Ph: (907) 291-2320 |
NPI Number | 1437378189 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 03/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437378189 | NPI | - | NPPES |
CL3492 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |