Organization · Type 2 NPI

Bassett Army Community Hospital

Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Wainwright, AK

NPI number 1679721864 Active

Practice location

4066 Spruce St
Fort Wainwright, AK 99703-7400

Call (907) 361-5172 Map

Mailing address

1060 Gaffney Rd Stop 7420, Attn Mcuc-Pad-Tpc
Fort Wainwright, AK 99703-5007

Specialties and licenses

Taxonomy	Code	License
Military/U.S. Coast Guard Outpatient Clinic/Center Primary	261QM1100X	None listed

Military/U.S. Coast Guard Outpatient Clinic/Center: 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 exam…

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NPI record

NPI: 1679721864
Entity type: Organization (Type 2)
Issued: Sep 3, 2008
Last updated: Apr 8, 2015
Status: Active
Subpart: Yes of Bassett Army Community Hospital

Other names

<unavail>
Combined Med SVCS C-Wainwright · doing business as

Authorized official

Timothy Spencer
Ubo Manager
(907) 361-5948

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679721864

Bassett Army Community Hospital's National Provider Identifier is 1679721864, issued on Sep 3, 2008. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fort Wainwright, AK. The record was last updated on Apr 8, 2015.