TANANA CHIEFS CONFERENCE (NPI# 1740825884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740825884 |
| Entity Type | Organization |
| Organization Name | TANANA CHIEFS CONFERENCE |
| Practice Address |
77 Antoski Ave Galena AK 99741 |
| Mailing Address |
122 1st Ave Ste 106 Fairbanks AK 99701-4871 |
| Practice Telephone | 9074528251 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Galena | Other Name - Individual/Organization |
| 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 |
| 1306481437 | Tanana Chiefs Conference | Community/Behavioral Health | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TANANA CHIEFS CONFERENCE | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 |
| Street Address |
77 ANTOSKI AVE |
| City | GALENA |
| State | AK |
| Zip Code | 99741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818181 | Cathy Anne Desanto | Nurse Practitioner | 77 Antoski Ave, Galena, AK 99741-0000 | 2006-12-18 |
| 1811220767 | Edgar Nollner Health Center | Clinic/Center | 77 Antoski Ave, Galena, AK 99741-0077 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043647894 | Nicole Gregory | Community Health Worker | 1/2 Mile Antoski Rd, Galena, AK 99741 | 2013-10-10 |
| 1053758920 | Clarice Joann Essex | Counselor | 77 Antoski Rd, Galena, AK 99741 | 2013-05-31 |
| 1902193162 | Tanya Jean Korta | Counselor | 77 Antoski Road, Galena, AK 99741 | 2011-07-07 |
| 1356630917 | Yukon Koyukuk Elder Assisted Living Consortium | Assisted Living Facility | 2 1/4 Campion Road, Galena, AK 99741 | 2011-04-05 |
| 1831497494 | Cecelia Ann Grant | Physician Assistant | 77 Antoski Drive, Galena, AK 99741 | 2011-03-07 |
| 1134373640 | Edger Nollner Health Center | Clinic/Center | 77 Antoski Ave., Galena, AK 99741 | 2008-11-11 |
| 1588273338 | Conor Daniel Cahalan | Physician Assistant | 77 Antoski Rd, Galena, AK 99741 | 2020-07-28 |
| 1629632039 | Jennessa Rose Miller | Behavioral Analyst | 77 Antoski Drive, Galena, AK 99741 | 2019-05-01 |
| 1811352297 | Ashley Lynn Burgett | Registered Nurse | 77 Antoski Rd, Galena, AK 99741 | 2015-12-29 |
| 1235795030 | Heidi R Mcclure | Community Health Worker | 17 Antoski Road, Galena, AK 99741-0017 | 2019-05-16 |
| Find all providers in zip 99741 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144631383 | Biblical Solutions & Consultation | Community/Behavioral Health | 8239 Hickory Ave, Galena, OH 43021-8507 | 2014-05-09 |
| 1033408356 | Galena Clinic, Inc. | Community/Behavioral Health | 939 Galena Square Dr, Galena, IL 61036-1355 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483781 | Anchorage Community Mental Health Services, Inc | Community/Behavioral Health | 704 W 26th Ave, Anchorage, AK 99503-2532 | 2020-10-03 |
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1124646641 | Alaska Art Therapy and Counseling | Community/Behavioral Health | 1107 W 8th St Unit 5, Juneau, AK 99801-1853 | 2020-07-10 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TANANA CHIEFS CONFERENCE.
| 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.