MT SANFORD TRIBAL CONSORTIUM NPI 1437378189

NPI Information

NPI: 1437378189
Provider Name: MT SANFORD TRIBAL CONSORTIUM
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
MILE 7 MENTASTA ROAD
MENTASTA, AK
ZIP 99780
Phone: (907) 291-2320
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MT SANFORD TRIBAL CONSORTIUM is a community health clinic center in Mentasta, AK. MT SANFORD TRIBAL CONSORTIUM NPI is 1437378189. The provider is registered as an organization entity type.

The provider's business location address is:

MILE 7 MENTASTA ROAD
MENTASTA, AK
ZIP 99780
Phone: (907) 291-2320
Fax: (907) 291-2308

The provider's authorized official is George Thomas Drinkwater .
The authorized official title is Chap Clinic Director and has the following contact phone number (907) 822-5399.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CL3492	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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