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TANANA CHIEFS CONFERENCE
NPI 1063290955
Substance Abuse Rehabilitation Facility in Fairbanks, AK

Active since September 20, 2023
2550 LAWLOR RD, FAIRBANKS, AK 99709(907) 452-8251(907) 459-3860 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tanana Chiefs Conference NPPES

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

TANANA CHIEFS CONFERENCE (NPI 1063290955) is a healthcare organization registered as a substance abuse rehabilitation facility in Fairbanks, Alaska and active in the NPI registry since September 2023. The organization lists Jacoline Bergstrom, Tcc Health Director, as its authorized official.

NPPES Registry Identity

NPI1063290955
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTANANA CHIEFS CONFERENCE
Location Address2550 LAWLOR RDFairbanks, AK 99709-6458
Mailing Address122 1st Ave Ste 106Fairbanks, AK 99701-4871 · (907) 452-8251 · Fax (907) 459-3860
Phone(907) 452-8251
Fax(907) 459-3860
Organization SubpartNo
Authorized OfficialJacoline BergstromTcc Health Director · (907) 452-8251
Enumeration DateSeptember 20, 2023
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1063290955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2550 LAWLOR RD, Fairbanks, AK 99709
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Other Names 1

Doing Business AsTanana Chiefs Conference

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.

ROBERT LORD
Case Manager/Care Coordinator
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-8251
RITA EAGLEHEAD B.ED.
Counselor (School)
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725
CAROLINE ELIZABETH RAMOS
Counselor (Addiction (Substance Use Disorder))
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 251-6943
KAREN MARIE LEY
Community/Behavioral Health
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-0800
SHAWNA LYNN HYTRY
Community/Behavioral Health
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-0800
LAURIE NORENE JOHN
Technician, Other
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725
MADELINE MARY DEREPENTIGNY
Counselor
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725
KAREN EVETTE GAMMAGE
Case Manager/Care Coordinator
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725

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 1063290955. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Tanana Chiefs Conference located?

Tanana Chiefs Conference is located at 2550 Lawlor Rd, Fairbanks, AK 99709. The listed phone number is (907) 452-8251.

What is Tanana Chiefs Conference's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Tanana Chiefs Conference was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.