NPIMap

Organization Active NPI

Edgar Nollner Health Center

  • Community Health Clinic/Center
  • Galena, AK
National Provider Identifier
1811220767
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
EDGAR NOLLNER HEALTH CENTER
Practice address
77 Antoski Ave
Galena, AK 99741-0077
Phone
(907) 656-1366
Fax
(907) 656-1525
NPI assigned
Sep 10, 2009
Organization subpart
Yes
Parent organization
TANANA CHIEFS CONFERENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Jacoline Bergstrom, MD
Title
Director Quality Management
Phone
(907) 452-8251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X AK Primary

Addresses

Primary practice location

77 Antoski Ave
Galena, AK 99741-0077

Mailing address

PO Box 77
Galena, AK 99741-0077
Phone (907) 656-1366

National Provider Directory

National Provider Directory
Tax ID family
Tanana Chiefscon38 organizations share this tax ID, including this one
Part of
Tanana Chiefscon

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1811220767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "GALENA",
            "state": "AK",
            "postal_code": "997410077",
            "telephone_number": "907-656-1366",
            "fax_number": "907-656-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ANTOSKI AVE",
            "city": "GALENA",
            "state": "AK",
            "postal_code": "997410077",
            "telephone_number": "907-656-1366",
            "fax_number": "907-656-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR NOLLNER HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TANANA CHIEFS CONFERENCE",
        "enumeration_date": "2009-09-10",
        "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": "DIRECTOR QUALITY MANAGEMENT",
        "authorized_official_telephone_number": "907-452-8251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, 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.

Verify at the official NPI Registry.