Active NPI
Tanana Chiefs Conference
- Lodging Provider
- Fairbanks, AK
National Provider Identifier
1801661558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- TANANA CHIEFS CONFERENCE
- Doing business as
- Tanana Chiefs Conference
- Practice address
- 1255 Tvsa Way
Fairbanks, AK 99709-4678 - Phone
- (907) 452-8251
- NPI assigned
- Nov 21, 2023
- Last updated
- Apr 25, 2025
- 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
- Jacoline Bergstrom
- Title
- Health Director
- Phone
- (907) 452-8251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | NU | Primary |
Addresses
Primary practice location
1255 Tvsa Way
Fairbanks, AK 99709-4678
Mailing address
1255 Tvsa Way
Fairbanks, AK 99709-4678
Other names 1
- Tanana Chiefs Conference
National Provider Directory
National Provider Directory- Tax ID family
- Old Minto Family Recovery Camp
Other organizations with this tax ID 37
Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1083258677
-
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-
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- NPI 1891097697
-
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- NPI 1811220767
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- Substance Abuse Rehabilitation Facility
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-
- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1053955674
-
- Case Management Agency
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- NPI 1073717047
-
- Transportation Broker
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-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fairbanks, AK
- NPI 1043469349
-
- Substance Abuse Rehabilitation Facility
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- NPI 1063290955
-
dba Chief Andrew Isaac Health Center
- Clinic/Center
- Fairbanks, AK
- NPI 1134308356
-
- Urgent Care Clinic/Center
- Fairbanks, AK
- NPI 1154530483
Locations
1255 Tvsa Way
Fairbanks, AK 99709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1801661558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 TVSA WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 TVSA WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094678",
"telephone_number": "907-452-8251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANANA CHIEFS CONFERENCE",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-21",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "BERGSTROM",
"authorized_official_first_name": "JACOLINE",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "907-452-8251"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tanana Chiefs Conference",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tanana Chiefs Conference",
"code": "3",
"type": "Doing Business As"
}
]
}
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 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.