TANANA CHIEFS CONFENERCE (NPI# 1396350633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396350633 |
| Entity Type | Organization |
| Organization Name | TANANA CHIEFS CONFENERCE |
| Practice Address |
Mile 124.4 Glenn Highway, Tok Ak AK 99780 |
| Mailing Address |
1717 W Cowles St Fairbanks AK 99701-5926 |
| Practice Telephone | 9074516682 |
| Mailing Telephone | 9074516682 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DANIEL NELSON (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 9074516682 |
| Is Organization Subpart | Y |
| Parent Organization Name | TANANA CHIEFS CONFENERCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Upper Tanana Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955674 | Tanana Chiefs Confenerce | Community/Behavioral Health | 1300 Moore St, Fairbanks, AK 99701-5761 | 2019-11-06 |
| 1295245488 | Tanana Chiefs Confenerce | Transportation Broker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2017-10-03 |
| 1073717047 | Tanana Chiefs Confenerce | Case Management | 201 1st Ave, Fairbanks, AK 99701-4848 | 2007-06-13 |
| Street Address |
MILE 124.4 GLENN HIGHWAY, TOK |
| City | AK |
| State | AK |
| Zip Code | 99780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538681 | Kory Labbe | Counselor | 124 Tok Cut Off, Tok, AK 99780 | 2020-11-03 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1770128811 | Tanana Chiefs Conference | Community/Behavioral Health | West Willow and C Street, Tok, AK 99780 | 2019-11-13 |
| 1588227920 | Joetta Lynn Thompson Colquette | Counselor | West C Street and Willow, Tok, AK 99780 | 2019-04-22 |
| 1093245144 | Mariah Craig | Community Health Worker | Mile 5.9 Mentasta Spur Road, Mentasta Lake, AK 99780 | 2017-06-12 |
| 1881070258 | Arron Atchley | Technician | 204 East Chene Way, Tok, AK 99780 | 2015-08-07 |
| 1881079705 | Francine Lee | Registered Nurse | 1314 Alaska Hwy, Tok, AK 99780 | 2015-07-21 |
| 1265856306 | Ashley Sawyer | Driver | Mp 1314 Alaska Highway, Tok, AK 99780 | 2014-02-10 |
| 1932536877 | Alberta David | Community Health Worker | 123 Tok Cut Off Road, Tok, AK 99780 | 2013-10-10 |
| 1548607211 | Stuart E Marcotte | Family Medicine | 124.5 Glenn Highway, Upper Tanana Health Center, Tok, AK 99780 | 2013-06-04 |
| Find all providers in zip 99780 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487699914 | Fred Meyer Stores Inc | Pharmacy | 930 Old Steese Hwy, Fairbanks, AK 99701-3167 | 2006-06-18 |
| 1124627922 | Southcentral Foundation | Pharmacy | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-10-22 |
| 1467051292 | North Pole Prescription Laboratory Inc | Pharmacy | 167 S Santa Claus Ln, North Pole, AK 99705-7755 | 2020-10-22 |
| 1740896265 | Prescription Center Pharmacy LLC | Pharmacy | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-09-21 |
| 1811501679 | Professional Pharmacy LLC | Pharmacy | 1001 Noble St, Fairbanks, AK 99701-4948 | 2020-08-31 |
| 1356538748 | Providence Seward Medical Center Drug Room | Pharmacy | 417 First Ave, Seward, AK 99664-0365 | 2007-09-28 |
| 1740484989 | Maniilaq Association | Pharmacy | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-12 |
| 1467661553 | Anchorage Primary Care Clinic | Pharmacy | 4320 Diplomacy Dr, Attn Sherry Reedy, Anchorage, AK 99508-5925 | 2007-05-22 |
| 1467534537 | Cross Road Health Ministries, Inc. | Pharmacy | Mile 187 Glenn Hwy, Glennallen, AK 99588 | 2006-10-19 |
Please comment or provide details below to improve the information on TANANA CHIEFS CONFENERCE.
| 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.