Tanana Chiefs Conference

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

3245S0500X Issued in AK

Legal business name

TANANA CHIEFS CONFERENCE

Practice address

201 1St Ave
Fairbanks, AK 99701-4848

Phone

(907) 451-8251

Fax

(907) 459-3810

NPI assigned

Jul 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Effie June Moe

Title

Camp Counselor

Phone

(907) 452-8251

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15989/brand/1/csg/1/fhir/r4
• FHIR API: https://api.qualifacts.org/api/fhir/tananachiefs/r4/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1013205608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 GILLAM WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016818",
            "telephone_number": "907-452-8251",
            "fax_number": "907-459-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 1ST AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014848",
            "telephone_number": "907-451-8251",
            "fax_number": "907-459-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANANA CHIEFS CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "CAMP COUNSELOR",
        "authorized_official_telephone_number": "907-452-8251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AK",
            "license": "3245S0500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Kayan Talley, RBT
• Jimmy M. Tamai, MD
• Tanana Chiefs Confenerce
• Tanana Chiefs Confenerce
• Tanana Chiefs Confenerce
• Tanana Chiefs Conference
• Tanana Chiefs Conference
• Tanana Chiefs Conference
• Tanana Chiefs Conference
• Tanana Chiefs Conference

• Substance Abuse Rehabilitation Facility in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Substance Abuse Rehabilitation Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.