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
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/04/2026
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