Active NPI
Tanana Chiefs Conference
- Mental Illness Community Based Residential Treatment Facility
- Fairbanks, AK
National Provider Identifier
1154565133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- TANANA CHIEFS CONFERENCE
- Practice address
- 122 1St Ave Ste 4
Fairbanks, AK 99701-4871 - Phone
- (907) 459-3800
- Fax
- (907) 459-3810
- NPI assigned
- Apr 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Siobhan Lynch
- Title
- Behavioral Health Director
- Phone
- (907) 459-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AK | Primary |
Addresses
Primary practice location
122 1St Ave Ste 4
Fairbanks, AK 99701-4871
Mailing address
122 1St Ave Ste 4
Fairbanks, AK 99701-4871
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240358400000",
"number": "1154565133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 1ST AVE STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 1ST AVE STE 4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014871",
"telephone_number": "907-459-3800",
"fax_number": "907-459-3810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANANA CHIEFS CONFERENCE",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-22",
"last_updated": "2009-04-22",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "SIOBHAN",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
"authorized_official_telephone_number": "907-459-3800"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.