# TANANA CHIEFS CONFERENCE

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

## Provider details

- **NPI number:** 1043469349
- **Authorized official:** MR. JACOLINE BERGSTROM (HEALTH DIRECTOR)
- **Authorized official phone:** (907) 452-8251

## Contact information

- **Practice address:** 122 1ST AVE, SUITE 600 CLIENT DEVELOPMENT, FAIRBANKS, AK 99701-4803
- **Practice address phone:** (907) 452-8251
- **Practice address fax:** (907) 459-3883
- **Mailing address:** 122 1ST AVE, SUITE 600 CLIENT DEVELOPMENT, FAIRBANKS, AK 99701-4803
- **Mailing address phone:** (907) 452-8251
- **Mailing address fax:** (907) 459-3883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 04/28/2025