# TANANA CHIEFS CONFERENCE

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

## Provider details

- **NPI number:** 1821201278
- **Authorized official:** JACOLINE BERGSTROM (DIRECTOR OF HEALTH SERVICES)
- **Authorized official phone:** (907) 452-8251

## Contact information

- **Practice address:** 1717 W COWLES ST, FAIRBANKS, AK 99701-5926
- **Practice address phone:** (907) 451-6682
- **Mailing address:** 201 1ST AVE STE 300, FAIRBANKS, AK 99701-4848
- **Mailing address phone:** (907) 452-8251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 10/06/2025