Tanana Chiefs Conference | |
77 Antoski Ave Galena AK 99741 | |
(907) 452-8251 | |
Not Available |
Full Name | Tanana Chiefs Conference |
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Speciality | Community/behavioral Health |
Location | 77 Antoski Ave, Galena, Alaska |
Authorized Official Name and Position | Jacoline Bergstrom (EX. DIRECTOR OF H.S.) |
Authorized Official Contact | 9074528251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tanana Chiefs Conference 122 1st Ave Ste 106 Fairbanks AK 99701-4871 Ph: (907) 452-8251 | Tanana Chiefs Conference 77 Antoski Ave Galena AK 99741 Ph: (907) 452-8251 |
NPI Number | 1740825884 |
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Provider Enumeration Date | 11/13/2019 |
Last Update Date | 11/13/2019 |
Identifier | Type | State | Issuer |
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1740825884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Edgar Nollner Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Antoski, Galena, AK 99741 Phone: 907-656-2366 Fax: 907-656-3122 |