Tanana Chiefs Conference

NPI #1043469349 in Fairbanks, Alaska

Provider Information

NPI Number: 1043469349
Entity Type: Organization
Organization Name: Tanana Chiefs Conference
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 11, 2008
Last Updated: Apr 28, 2025

Practice Location

Address: 122 1ST AVE
Address 2: SUITE 600 CLIENT DEVELOPMENT
City: Fairbanks
State: Alaska
ZIP Code: 99701-4803
Phone: (907) 452-8251

Authorized Official

Name: MR. JACOLINE BERGSTROM
Title: HEALTH DIRECTOR
Phone: (907) 452-8251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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