| Tanana Chiefs Confenerce | |
|
1300 Moore St Fairbanks AK 99701-5761 | |
| (907) 452-8251 | |
| Not Available |
| Full Name | Tanana Chiefs Confenerce |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1300 Moore St, Fairbanks, Alaska |
| Authorized Official Name and Position | Jacoline Bergstrom (EX. DIRECTOR OF H.S.) |
| Authorized Official Contact | 9074528251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanana Chiefs Confenerce 122 1st Ave Ste 106 Fairbanks AK 99701-4871 Ph: (907) 452-8251 | Tanana Chiefs Confenerce 1300 Moore St Fairbanks AK 99701-5761 Ph: (907) 452-8251 |
| NPI Number | 1053955674 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053955674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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