NPI 1083038640

Mt Sanford Tribal Consortium

Organisation Public Health or Welfare Agency Gakona, AK

Practice location

Address: 34 Mile Tok Highway, Gakona, AK 99586-0357
Phone: (907) 822-5399
Mailing address: PO Box 357, Chistochina, AK 99586-0357

Authorised official

Name: Evelyn Beeter
Title: President/Ceo
Phone: (907) 822-5399

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1083038640
Entity type: Organization
NPI issued: 18 Feb 2014
Record last updated: 18 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.