Organization
MT SANFORD TRIBAL CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN BEETER (PRESIDENT/CEO)
(907) 822-5399
Entity
Organization
Contact information
Practice address
34 MILE TOK HIGHWAY, GAKONA, AK 99586-0357
(907) 822-5399
Mailing address
PO BOX 357, CHISTOCHINA, AK 99586-0357
(907) 822-5399
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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