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TANANA CHIEFS CONFERENCE
NPI 1134308356
Clinic/Center in Fairbanks, AK

Active since October 25, 2007CLIA 02D0641241 · Waiver
1408 19TH AVE, FAIRBANKS, AK 99701(907) 451-6682(907) 459-3976 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tanana Chiefs Conference NPPES

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

TANANA CHIEFS CONFERENCE (NPI 1134308356), doing business as Chief Andrew Isaac Health Center, is a healthcare organization registered as a clinic/center in Fairbanks, Alaska and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Liza Sarah Malamute, Diabetes Educator/foot Care Nurse, as its authorized official.

NPPES Registry Identity

NPI1134308356
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTANANA CHIEFS CONFERENCE
Location Address1408 19TH AVEFairbanks, AK 99701-5903
Mailing Address1408 19th AveFairbanks, AK 99701-5903 · (907) 451-6682
Phone(907) 451-6682
Fax(907) 459-3976
Organization SubpartNo
Authorized OfficialLiza Sarah MalamuteDiabetes Educator/foot Care Nurse · (907) 451-6682
Enumeration DateOctober 25, 2007
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1134308356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AK · 17910
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1408 19TH AVE, Fairbanks, AK 99701
Open in Google Maps ↗

Other Names 1

Doing Business AsChief Andrew Isaac Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D0641241

Tanana Chiefs Conference Inc Community Health Aide Program · Fairbanks, AK
Active · expires Oct 23, 2027
CLIA Number02D0641241
Laboratory TypeOther
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorCrystal L. Stordahl
Laboratory Phone(907) 451-6682
Laboratory LocationTanana Chiefs Conference Inc Community Health Aide Program201 1st Ave Ste 200, Fairbanks, AK 99701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DANIEL PATRICK NELSON PHARM D.
Pharmacist
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3807
HEATHER KOPONEN PA-C
Physician Assistant
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
MATTHEW JOHN ROGERS PA-C
Physician Assistant
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
CAROL INDORF
Registered Nurse (Case Management)
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
MRS. MARY JOSEPHINE MORGANREYNOLDS REGISTERED NURSE
Registered Nurse
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
DR. STEPHEN S GERRISH MD
Family Medicine
1408 19TH AVE, TANANA CHIEFS CONFERENCE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
KIMBERLY LYNN GEBAUER R.N.
Registered Nurse
1408 19TH AVE, 4TH FLOOR, CLINICAL NURSING
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
MARGARET CLAUDIA BROPHY
Pharmacist
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3807

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 1134308356. It was assigned to this organization in the NPPES registry on October 25, 2007. The provider is doing business as Chief Andrew Isaac Health Center.

Where is Tanana Chiefs Conference located?

Tanana Chiefs Conference is located at 1408 19th Ave, Fairbanks, AK 99701. The listed phone number is (907) 451-6682.

What is Tanana Chiefs Conference's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Tanana Chiefs Conference hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0641241) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tanana Chiefs Conference was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.