Tanana Chiefs Conference

LBN: Tanana Chiefs Conference
Tanana Chiefs Conference is an health care organization with primary practice located at 122 1St Ave Ste 600 , Fairbanks AK 99701-4871. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Tanana Chiefs Conference can be contacted via phone (907) 452-8251, or through Issac, Jerry via phone (907) 452-8251.

Contact Information

Primary practice address
122 1St Ave Ste 600 Fairbanks AK 99701-4871
Phone: (907) 452-8251
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Issac, Jerry
Phone: (907) 452-8251

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Alaska
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Alaska
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Alaska

Profile Details

NPI number 1740531656
LBN Legal business name Tanana Chiefs Conference
DBA Doing business as
Authorized official Issac, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2012
Last updated Oct 2nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740531656 NPPES
Alaska MEDICAID CMG 438

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