Organization
TANANA CHIEFS CONFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOLINE BERGSTROM (HEALTH DIRECTOR)
(907) 452-8251
Entity
Organization
Contact information
Practice address
122 1ST AVE, SUITE 600 CLIENT DEVELOPMENT, FAIRBANKS, AK 99701-4803
(907) 452-8251
(907) 459-3883
Mailing address
122 1ST AVE, SUITE 600 CLIENT DEVELOPMENT, FAIRBANKS, AK 99701-4803
(907) 452-8251
(907) 459-3883
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG438
—
AK
05
—
HC2438
—
AK
Enumeration date
09/11/2008
Last updated
04/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us