Organization · Type 2 NPI

Tanana Chiefs Confenerce

Community/Behavioral Health Agency · Fairbanks, AK

NPI number 1053955674 Active

Practice location

1300 Moore St
Fairbanks, AK 99701-5761

Call (907) 452-8251 Map

Mailing address

122 1st Ave Ste 106
Fairbanks, AK 99701-4871

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

17 other providers at this address

Other community/behavioral health agency providers in Fairbanks

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NPI record

NPI: 1053955674
Entity type: Organization (Type 2)
Issued: Nov 6, 2019
Last updated: Apr 25, 2025
Status: Active
Subpart: Yes of Tanana Chiefs Confenerce

Other names

<unavail>
Sobering Center · other name
Sobering Center · other name

Authorized official

Jacoline Bergstrom
Ex. Director of H.s.
(907) 452-8251

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053955674

Tanana Chiefs Confenerce's National Provider Identifier is 1053955674, issued on Nov 6, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 25, 2025.