TANANA CHIEFS CONFERENCE (NPI# 1821201278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821201278 |
| 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 | 2007-05-08 |
| Last Update Date | 2009-02-10 |
| Authorized Official Name | VICTOR JOSEPH (HEALTH SERVICES DIRECTOR) |
| Authorized Official Telephone | 9074528251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 280078 | AK | Ambulatory Health Care Facilities |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407264328 | Forget Me Not Ultrasound | Clinic/Center | 2054 #30th Avenue, Fairbanks, AK 99701-5720 | 2014-07-23 |
| 1679664239 | Anp Family Care Inc | Clinic/Center | 1867 Airport Way Ste 110b, Fairbanks, AK 99701-4054 | 2006-09-27 |
| 1437765427 | Aurora Audiology LLC | Clinic/Center | 1901 Airport Way Ste 102, Fairbanks, AK 99701-4049 | 2020-09-16 |
| 1205112240 | Mark T. Kowal Md PC | Clinic/Center | 1919 Lathrop St, Suite 202, Fairbanks, AK 99701-5937 | 2011-10-21 |
| 1558539122 | Building Blocks Occupational Therapy, Inc | Clinic/Center | 398 Hamilton Ave, Fairbanks, AK 99701-4760 | 2008-02-15 |
| 1134308356 | Tanana Chiefs Conference | Clinic/Center | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2007-10-25 |
| 1073636148 | Fairbanks Clinic Inc | Clinic/Center | 1919 Lathrop St, Suite 100, Fairbanks, AK 99701-5930 | 2007-04-06 |
| 1972643138 | Equinox, Inc | Clinic/Center | 3677 College Rd, Suite 13, Fairbanks, AK 99709-3712 | 2007-02-07 |
| 1467565531 | Clear Vision Optometry, Inc | Clinic/Center | 1867 Airport Way, Suite 150-a, Fairbanks, AK 99701-4007 | 2006-08-16 |
| 1184691743 | Tanana Valley Medical Surgical Group Inc | Clinic/Center | 1001 Noble St, Fairbanks, AK 99701-4922 | 2006-03-02 |
| 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.