TANANA CHIEFS CONFERENCE


Address: 1717 W Cowles St, Fairbanks, AK 99701-5926
Phone: 9074516682

TANANA CHIEFS CONFERENCE (NPI# 1306481437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306481437
Entity Type Organization
Organization Name TANANA CHIEFS CONFERENCE
Practice Address 1717 W Cowles St
Fairbanks
AK 99701-5926
Mailing Address 122 1st Ave Ste 106
Fairbanks
AK 99701-4871
Practice Telephone 9074516682
Mailing Telephone 9074528251
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Authorized Official Name JACOLINE BERGSTROM (EX. DIRECTOR OF H.S.)
Authorized Official Telephone 9074528251
Is Organization Subpart Y
Parent Organization Name TANANA CHIEFS CONFENERCE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Old Minto Recovery Camp Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447895578 Tanana Chiefs Conference Community/Behavioral Health 117 1st Ave, Fairbanks, AK 99701-4802 2019-11-13
1497390538 Tanana Chiefs Conference Community/Behavioral Health 122 1st Ave Ste 106, Fairbanks, AK 99701-4871 2019-11-13
1770128811 Tanana Chiefs Conference Community/Behavioral Health West Willow and C Street, Tok, AK 99780 2019-11-13
1467784140 Tanana Chiefs Conference Community Based Residential Treatment Facility, Mental Illness 122 First Avenue 4th Floor, Fairbanks, AK 99701 2010-02-05
1154565133 Tanana Chiefs Conference Community Based Residential Treatment Facility, Mental Illness 122 1st Ave Ste 4, Fairbanks, AK 99701-4871 2009-04-22
1841835980 Tanana Chiefs Conference Community/Behavioral Health 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-11-13
1740825884 Tanana Chiefs Conference Community/Behavioral Health 77 Antoski Ave, Galena, AK 99741 2019-11-13
1740531656 Tanana Chiefs Conference Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 2012-10-02
1013205608 Tanana Chiefs Conference Substance Abuse Rehabilitation Facility 201 1st Ave, Fairbanks, AK 99701-4848 2011-07-15
1124350624 Tanana Chiefs Conference Community Based Residential Treatment Facility, Mental Illness 122 1st Ave, Suite 400, Fairbanks, AK 99701 2010-02-08

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities TANANA CHIEFS CONFERENCE 122 1st Ave Ste 600, Fairbanks, AK 99701-4871

Office Location

Street Address 1717 W COWLES ST
City FAIRBANKS
State AK
Zip Code 99701-5926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942299144 Laura Catalano Physician Assistant 1717 W Cowles St, Fairbanks, AK 99701 2005-10-19
1215554605 Reilly Jorgensen Registered Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-07-01
1154947109 Jan Rud Registered Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-06-24
1295356673 Cheyanne Esmailka Community Health Worker 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-04-27
1699395111 Jordyn Lillie Community Health Worker 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-04-24
1932738135 Kaneisha Radgosky Registered Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-04-08
1376172585 Lucinda Dowdy Licensed Practical Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-04-08
1225662554 Jennifer Landis Registered Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-02-25
1427681329 Bozena Glover Registered Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-02-19
1326678699 Samantha Arbuckle Registered Nurse 1717 W Cowles St, Fairbanks, AK 99701-5926 2020-01-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984987 Resource Center for Parents & Children, Inc. Social Worker 726 26th Ave, Suite #2, Fairbanks, AK 99701 2020-08-26
1134738982 Aaron Paul Sarauer Behavior Technician 3121 Lathrop St., Fairbanks, AK 99701 2020-07-28
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1821588989 Corrie Wilson Nurse Practitioner 1025 Barnette Street, Fairbanks, AK 99701 2018-05-15
1922519305 Sarishma Sangeeta Lal Registered Nurse 815 2nd Ave Ste 122, Fairbanks, AK 99701 2017-10-12
1245690569 Christine L Simko Naturopath 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 2016-02-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18
1700272705 John D. Zipperer Jr Md, LLC Clinic/Center 751 Old Richardson Hwy., Fairbanks, AK 99701 2015-04-07
1578957460 Mara Justine Becker Physician Assistant 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 2015-03-27
Find all providers in zip 99701

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447895578 Tanana Chiefs Conference Community/Behavioral Health 117 1st Ave, Fairbanks, AK 99701-4802 2019-11-13
1497390538 Tanana Chiefs Conference Community/Behavioral Health 122 1st Ave Ste 106, Fairbanks, AK 99701-4871 2019-11-13
1336614205 Extended Family Alaska LLC Community/Behavioral Health 978 Pickering Dr, Fairbanks, AK 99709-5770 2018-10-08
1316247091 North Star Council On Aging, Inc. Community/Behavioral Health 1424 Moore St, Fairbanks, AK 99701-5716 2010-10-27
1881713261 Interior Aids Association Community/Behavioral Health 710 3rd Ave, Fairbanks, AK 99701-4455 2007-03-28
1912079088 Fairbanks Resource Agency Inc Community/Behavioral Health 805 Airport Road, Fairbanks, AK 99701 2006-11-14
1841835980 Tanana Chiefs Conference Community/Behavioral Health 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-11-13
1053955674 Tanana Chiefs Confenerce Community/Behavioral Health 1300 Moore St, Fairbanks, AK 99701-5761 2019-11-06
1083258677 Chief Andrew Issac Health Center Community/Behavioral Health 1717 W Cowles St, Fairbanks, AK 99701-5926 2019-11-06
1053952960 Gavin Hage Community/Behavioral Health 3101 Lathrop St, Fairbanks, AK 99701-7426 2019-10-02
Find all providers in FAIRBANKS

Competitor

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City FAIRBANKS
Zip Code 99701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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