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TANANA CHIEFS CONFERENCE NPI 1649385667


NPI Information

NPI: 1649385667
Provider Name: TANANA CHIEFS CONFERENCE

Doing Business As: CHIEF ANDREW ISAAC HEALTH CENTER PHARMACY

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization

CLIA Number: 02D0641241

Address:
1717 W COWLES ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-3807
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TANANA CHIEFS CONFERENCE is an indian health service tribal urban indian health i t u pharmacy in Fairbanks, AK. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. TANANA CHIEFS CONFERENCE NPI is 1649385667. The provider is registered as an organization entity type.
The provider Is Doing Business As Chief Andrew Isaac Health Center Pharmacy.

The provider's business location address is:

1717 W COWLES ST
FAIRBANKS, AK
ZIP 99701-926
Phone: (907) 459-3807
Fax: (907) 459-3910

The provider's authorized official is Daniel Nelson .
The authorized official title is Phcy Dir and has the following contact phone number (907) 451-6682.

The CLIA number assigned to this NPI record is 02D0641241 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy483ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PH0156MEDICAIDALASKA
20000MEDICAIDALASKA
31996984OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.