TANANA CHIEFS CONFERENCE (NPI# 1356550685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356550685 |
| Entity Type | Organization |
| Organization Name | TANANA CHIEFS CONFERENCE |
| Practice Address |
122 1st Ave Suite 600 Fairbanks AK 99701-4803 |
| Practice Telephone | 9074528251 |
| Mailing Telephone | 9074528251 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VICTOR JOSEPH (HS DIRECTOR) |
| Authorized Official Telephone | 9074528251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
246135 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG308 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447895578 | Tanana Chiefs Conference | Community/Behavioral Health | 117 1st Ave, Fairbanks, AK 99701-4802 | 2019-11-13 |
| 1497390538 | Tanana Chiefs Conference | Community/Behavioral Health | 122 1st Ave Ste 106, Fairbanks, AK 99701-4871 | 2019-11-13 |
| 1770128811 | Tanana Chiefs Conference | Community/Behavioral Health | West Willow and C Street, Tok, AK 99780 | 2019-11-13 |
| 1467784140 | Tanana Chiefs Conference | Community Based Residential Treatment Facility, Mental Illness | 122 First Avenue 4th Floor, Fairbanks, AK 99701 | 2010-02-05 |
| 1154565133 | Tanana Chiefs Conference | Community Based Residential Treatment Facility, Mental Illness | 122 1st Ave Ste 4, Fairbanks, AK 99701-4871 | 2009-04-22 |
| 1841835980 | Tanana Chiefs Conference | Community/Behavioral Health | 1521 S Cushman St, Fairbanks, AK 99701-6203 | 2019-11-13 |
| 1740825884 | Tanana Chiefs Conference | Community/Behavioral Health | 77 Antoski Ave, Galena, AK 99741 | 2019-11-13 |
| 1306481437 | Tanana Chiefs Conference | Community/Behavioral Health | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-11-13 |
| 1740531656 | Tanana Chiefs Conference | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2012-10-02 |
| 1013205608 | Tanana Chiefs Conference | Substance Abuse Rehabilitation Facility | 201 1st Ave, Fairbanks, AK 99701-4848 | 2011-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TANANA CHIEFS CONFERENCE | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 |
| Street Address |
122 1ST AVE SUITE 600 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359323 | Kathleen Hodges | Social Worker | 122 1st Ave, Fairbanks, AK 99701-4803 | 2005-10-06 |
| 1447801857 | John Gerald Mayo | Counselor | 122 1st Ave, Fairbanks, AK 99701-4871 | 2019-09-26 |
| 1619227246 | Qwynten Richards | Counselor | 122 1st Ave, Suite 400, Fairbanks, AK 99701-4803 | 2012-09-11 |
| 1750639449 | Sandra Mccafferty | Community Health Worker | 122 1st Ave, Suie 600, Fairbanks, AK 99701-4803 | 2012-08-28 |
| 1407104169 | Alfred Stevens | Counselor | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2012-08-28 |
| 1710234877 | Michael James Demoski | Dental Assistant | 122 1st Ave, 600, Fairbanks, AK 99701-4803 | 2012-08-08 |
| 1023365186 | Debra Ann Dayton | Dental Assistant | 122 1st Ave, 600, Fairbanks, AK 99701-4803 | 2012-08-08 |
| 1699021600 | Mary Beth Morrison | Case Manager/Care Coordinator | 122 1st Ave, 4th Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| 1598011512 | Jennie Lynn Mclean | Case Manager/Care Coordinator | 122 1st Ave, Fourth Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| 1497001416 | Pearl J Gould | Case Manager/Care Coordinator | 122 1st Ave, Fourth Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558527 | U.S. Healthworks Medical Group of Alaska, LLC | Clinic/Center | 1867 Airport Way, Suite 130b, Fairbanks, AK 99701-4054 | 2016-10-06 |
| 1285922104 | Steese Immediate Care | Clinic/Center | 1275 Sadler Way, #101, Fairbanks, AK 99701 | 2011-07-12 |
| 1801005137 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1710196043 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1629287958 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1538378864 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1427267756 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1336358662 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1245449578 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| 1154530483 | Tanana Chiefs Conference | Clinic/Center | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2007-05-22 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.