OrganizationActive
Tanana Chiefs Conference
NPI 1043469349 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fairbanks, AK
Provider details
- NPI number
- 1043469349
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jacoline Bergstrom, Health Director(907) 452-8251
Specialties & taxonomies
Residential Treatment Facilities
Agencies
Respite Care Facility
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
122 1st Ave
Suite 600 Client Development
Fairbanks, AK 99701-4803
Phone: (907) 452-8251
Fax: (907) 459-3883
Street-level locationGet directions
Mailing address
122 1st Ave
Fairbanks, AK 99701-4803
Registry dates
- Enumerated
- 2008-09-11
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.