Organization
TANANA CHIEFS CONFERENCE
Active
Other names
TANANA CHIEFS CONFERENCE
Organization subpart
No
Provider details
NPI number
Authorized official
JACOLINE BERGSTROM (HS DIRECTOR)
(907) 452-8251
Entity
Organization
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 452-8251
(907) 459-3860
Mailing address
122 1ST AVE STE 106, FAIRBANKS, AK 99701-4871
(907) 452-8251
(907) 459-3860
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
09/21/2023
Last updated
04/25/2025
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