Organization
TANANA CHIEFS CONFENERCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL OSTBLOOM (HOME CARE MANAGER)
(907) 452-8251
Entity
Organization
Contact information
Practice address
201 1ST AVE, FAIRBANKS, AK 99701-4848
(907) 452-8251
(907) 459-3852
Mailing address
201 1ST AVE, FAIRBANKS, AK 99701-4848
(907) 452-8251
(907) 459-3852
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG190
—
AK
05
—
HC1919
—
AK
Enumeration date
06/13/2007
Last updated
04/25/2025
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