NPIMap

Organization Active NPI

Mt Sanford Tribal Consortium

  • Public Health or Welfare Agency
  • Gakona, AK
National Provider Identifier
1083038640
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MT SANFORD TRIBAL CONSORTIUM
Practice address
34 Mile Tok Highway
Gakona, AK 99586-0357
Phone
(907) 822-5399
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

34 Mile Tok Highway
Gakona, AK 99586-0357

Mailing address

PO Box 357
Chistochina, AK 99586-0357
Phone (907) 822-5399

National Provider Directory

National Provider Directory
Tax ID family
Chistochina Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1083038640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "CHISTOCHINA",
            "state": "AK",
            "postal_code": "995860357",
            "telephone_number": "907-822-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MILE TOK HIGHWAY",
            "city": "GAKONA",
            "state": "AK",
            "postal_code": "995860357",
            "telephone_number": "907-822-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT SANFORD TRIBAL CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BEETER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "907-822-5399",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gakona, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.