# EDGAR NOLLNER HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TANANA CHIEFS CONFERENCE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811220767
- **Legal business name:** TANANA CHIEFS CONFERENCE
- **Authorized official:** DR. JACOLINE BERGSTROM MD (DIRECTOR QUALITY MANAGEMENT)
- **Authorized official phone:** (907) 452-8251

## Contact information

- **Practice address:** 77 ANTOSKI AVE, GALENA, AK 99741-0077
- **Practice address phone:** (907) 656-1366
- **Practice address fax:** (907) 656-1525
- **Mailing address:** PO BOX 77, GALENA, AK 99741-0077
- **Mailing address phone:** (907) 656-1366
- **Mailing address fax:** (907) 656-1525

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2009
- **Last updated:** 04/25/2025