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TANANA CHIEFS CONFERENCE
NPI 1043469349
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairbanks, AK

Active since September 11, 2008
122 1ST AVE, SUITE 600 CLIENT DEVELOPMENT, FAIRBANKS, AK 99701(907) 452-8251(907) 459-3883 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanana Chiefs Conference NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANANA CHIEFS CONFERENCE (NPI 1043469349) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fairbanks, Alaska and active in the NPI registry since September 2008. The organization lists Jacoline Bergstrom, Health Director, as its authorized official.

NPPES Registry Identity

NPI1043469349
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameTANANA CHIEFS CONFERENCE
Location Address122 1ST AVE, SUITE 600 CLIENT DEVELOPMENTFairbanks, AK 99701-4803
Mailing Address122 1st Ave, Suite 600 Client DevelopmentFairbanks, AK 99701-4803 · (907) 452-8251 · Fax (907) 459-3883
Phone(907) 452-8251
Fax(907) 459-3883
Organization SubpartNo
Authorized OfficialJacoline BergstromHealth Director · (907) 452-8251
Enumeration DateSeptember 11, 2008
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1043469349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
122 1ST AVE, Fairbanks, AK 99701
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Other Identifiers 2

MedicaidCMG438AK
MedicaidHC2438AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ANDREW CLIFFORD MD
Psychiatry & Neurology (Psychiatry)
122 1ST AVE, SUITE 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 750-4124
KRISTINA GUTGESELL BOSWOOD M.ED, LPC
Counselor (Professional)
122 1ST AVE, SUITE 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MR. CHARLIE TITUS
Counselor (Addiction (Substance Use Disorder))
122 1ST AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
DEBRA ANN DAYTON
Dental Assistant
122 1ST AVE, 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
PATTI ANN DAVIS
Case Manager/Care Coordinator
122 1ST AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6434
TANANA CHIEFS CONFERENCE
Community Based Residential Treatment Facility, Mental Illness
122 1ST AVE, SUITE 400
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3800
GALE MARIA RAWSON LMSW
Social Worker (Clinical)
122 1ST AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3800
JAMES R. TAYLOR O.D.
Optometrist
122 1ST AVE, SUITE 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanana Chiefs Conference's NPI number?

The NPI number for Tanana Chiefs Conference is 1043469349. It was assigned to this organization in the NPPES registry on September 11, 2008.

Where is Tanana Chiefs Conference located?

Tanana Chiefs Conference is located at 122 1st Ave Suite 600 Client Development, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Tanana Chiefs Conference's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Tanana Chiefs Conference was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.