NPI 1063290955
Tanana Chiefs Conference
Practice location
- Address
- 2550 Lawlor Rd, Fairbanks, AK 99709-6458
- Phone
- (907) 452-8251
- Fax
- (907) 459-3860
- Mailing address
- 122 1st Ave STE 106, Fairbanks, AK 99701-4871
Authorised official
- Name
- Jacoline Bergstrom
- Title
- Tcc Health Director
- Phone
- (907) 452-8251
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1063290955
- Entity type
- Organization
- NPI issued
- 20 Sep 2023
- Record last updated
- 25 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.