# MT SANFORD TRIBAL CONSORTIUM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437378189
- **Authorized official:** GEORGE THOMAS DRINKWATER (CHAP CLINIC DIRECTOR)
- **Authorized official phone:** (907) 822-5399

## Contact information

- **Practice address:** MILE 7 MENTASTA ROAD, MENTASTA, AK 99780
- **Practice address phone:** (907) 291-2320
- **Practice address fax:** (907) 291-2308
- **Mailing address:** PO BOX 357, GAKONA, AK 99586-0357
- **Mailing address phone:** (907) 822-5399
- **Mailing address fax:** (907) 822-5810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 03/02/2011