BASSETT ARMY COMMUNITY HOSPITAL (NPI# 1053418806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053418806 |
| Entity Type | Organization |
| Organization Name | BASSETT ARMY COMMUNITY HOSPITAL |
| Other Organization Name | WAINWRIGHT BASSETT PHCY |
| Practice Address |
1060 Gaffney Rd Stop 7420 Bldg 4065 Ft Wainwright AK 99703-5007 |
| Mailing Address |
1060 Gaffney Rd 7420 Bldg 4065 Ft Wainwright AK 99703-5002 |
| Practice Telephone | 9073615109 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1996970 | 01 |
| Other Name | Type Code |
|---|---|
| WAINWRIGHT BASSETT PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679721864 | Bassett Army Community Hospital | Clinic/Center | 4066 Spruce St, Ft Wainwright, AK 99703-7400 | 2008-09-03 |
| 1295983591 | Bassett Army Community Hospital | Clinic/Center | 661 Arctic Road, Ft. Greely, AK 99731 | 2008-08-29 |
| 1427217447 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 131dg 661 Artic Ave, Fr Greely, AK 99731 | 2008-06-05 |
| 1871796615 | Bassett Army Community Hospital | Clinic/Center | 1060 Gaffney Rd Stop 7500, Mcds-dd-hos, Fort Wainwright, AK 99703-5002 | 2007-06-08 |
| 1831392679 | Bassett Army Community Hospital | Clinic/Center | 724 Postal Service Loop Stop 7500, Mcds-dd-r, Fort Richardson, AK 99505-7500 | 2007-06-08 |
| 1699877993 | Bassett Army Community Hospital | Clinic/Center | 1060 Gaffney Rd # 7420, Ft Wainwright, AK 99703-7420 | 2006-09-05 |
| 1295149383 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bassett Army Community Hospital, Meddac-alaska 1060 Gaffney Rd #7400, Ft. Wainwright, AK 99703-7400 | 2014-06-17 |
| 1427206630 | Bassett Army Community Hospital | Clinic/Center | 3406 Alder Ave, Ft Wainwright, AK 99703 | 2008-08-29 |
| 1730383886 | Bassett Army Community Hospital | Clinic/Center | 3406 Alder Ave, Mcds-dd-tdc, Ft Wainwright, AK 99703-5002 | 2007-06-13 |
| 1164635728 | Bassett Army Community Hospital | Clinic/Center | 724 Postal Service Loop Stop 7499, Fort Richardson, AK 99505-7499 | 2007-05-08 |
| Street Address |
1060 GAFFNEY RD STOP 7420 BLDG 4065 |
| City | FT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013442060 | Jupie Hamilton | Social Worker | 1060 Gaffney Rd Stop 7420, Meddac-ak, Ft Wainwright, AK 99703-5007 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053410100 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1060 Gaffney Rd Stop 7400, Building 3406, Ft Wainwright, AK 99703-5007 | 2006-09-22 |
| 1497854558 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1060 Gaffney Rd Stop 7400, Bldg 4065, Ft Wainwright, AK 99703-5007 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427217447 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 131dg 661 Artic Ave, Fr Greely, AK 99731 | 2008-06-05 |
| 1104925262 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | Bldg N46 Isc Kodiak, Kodiak, AK 99619 | 2006-09-22 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1013016179 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1300 Stedman Stisc Ketchikan, Ketchikan, AK 99901 | 2006-09-22 |
| 1821402652 | 673rd Medical Group Joint Base Elmendorf-richardson | Military/U.S. Coast Guard Pharmacy | 5955 Zeamer Ave, 673rd Medical Group, Jber, AK 99506-3702 | 2014-06-19 |
| 1295149383 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bassett Army Community Hospital, Meddac-alaska 1060 Gaffney Rd #7400, Ft. Wainwright, AK 99703-7400 | 2014-06-17 |
| 1629481486 | 673rd Medical Group Joint Base Elmendorf-richardson Jber | Military/U.S. Coast Guard Pharmacy | 5800 Westover Ave, Jber, AK 99506-1603 | 2014-06-09 |
| 1902218415 | 354 Mdg | Military/U.S. Coast Guard Pharmacy | 2630 Central Ave Ste 1m07, Eielson Afb, AK 99702-2325 | 2014-06-02 |
| 1285948877 | Hswl Fo Kodiak Det Ketchikan | Military/U.S. Coast Guard Pharmacy | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2010-08-06 |
| 1295834356 | 3rd Medical Support Squadron Sgsl | Military/U.S. Coast Guard Pharmacy | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | FT WAINWRIGHT |
| Zip Code | 99703 |
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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.