BASSETT ARMY COMMUNITY HOSPITAL (NPI# 1871796615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871796615 |
| Entity Type | Organization |
| Organization Name | BASSETT ARMY COMMUNITY HOSPITAL |
| Other Organization Name | USADC WAINWRIGHT-BASSETT |
| Practice Address |
1060 Gaffney Rd Stop 7500 Mcds-dd-hos Fort Wainwright AK 99703-5002 |
| Mailing Address |
1060 Gaffney Rd Stop 7420 Attn Mcuc-pad-tpc Fort Wainwright AK 99703-5007 |
| Practice Telephone | 9073615172 |
| Mailing Telephone | 9073615948 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | TIMOTHY SPENCER (UBO MANAGER) |
| Authorized Official Telephone | 9073615948 |
| Is Organization Subpart | Y |
| Parent Organization Name | BASSETT ARMY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| USADC WAINWRIGHT-BASSETT | 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 |
| 1831392679 | Bassett Army Community Hospital | Clinic/Center | 724 Postal Service Loop Stop 7500, Mcds-dd-r, Fort Richardson, AK 99505-7500 | 2007-06-08 |
| 1053418806 | Bassett Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1060 Gaffney Rd Stop 7420, Bldg 4065, Ft Wainwright, AK 99703-5007 | 2006-09-20 |
| 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 7500 MCDS-DD-HOS |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790135598 | Aury Hernandez | Dental Hygienist | 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007 | 2016-06-13 |
| 1740619949 | James Wages Jr. | Physician Assistant | 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007 | 2013-11-07 |
| 1790031128 | Grant Dee Petersen | Dentist | 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007 | 2012-08-03 |
| 1003190273 | Andrew Victor Sanchez | Dentist | 1060 Gaffney Rd Stop 7500, U S Army Dental Activity, Fort Wainwright, AK 99703-5007 | 2011-10-05 |
| 1336302272 | Shane David Rhoton | Dentist | 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007 | 2008-07-09 |
| 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 | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033517206 | United States Coast Guard | Clinic/Center | Base Kodiak Building N-46, Kodiak, AK 99619 | 2014-12-19 |
| 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 |
| 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 |
| 1346211059 | U. S. Coast Guard | Clinic/Center | 611 Airport Dr, Sitka, AK 99835-9436 | 2006-01-30 |
| 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 |
| 1497731590 | Isc Ketchikan-juneau Detachment | Clinic/Center | 709 W 9th St, Uscg Medical Room 627, Juneau, AK 99801-1807 | 2005-12-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT 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.