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Organization
TANANA CHIEFS CONFERENCE
Active
Organization
TANANA CHIEFS CONFERENCE
Active
Other names
Tanana Chiefs Conference
Organization subpart
No
Provider details
NPI number
Authorized official
JACOLINE BERGSTROM (EXECUTIVE DIRECTOR OF HEALTH)
(907) 452-8251
Entity
Organization
Contact information
Practice address
1717 W COWLES ST BLDG B, FAIRBANKS, AK 99701-5926
(907) 452-8251
(907) 459-3830
Mailing address
1717 W COWLES ST BLDG B, FAIRBANKS, AK 99701-5926
(907) 452-8251
(907) 459-3830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/23/2024
Last updated
05/04/2026
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