DOD FT WAINWRIGHT EPHCY (BASSETT ARMY COMMUNITY HOSPITAL) NPI 1295149383

Military/U.S. Coast Guard Pharmacy in Ft. Wainwright,, AK

NPI 1295149383 Organization Military/U.S. Coast Guard Pharmacy

About DOD FT WAINWRIGHT EPHCY (BASSETT ARMY COMMUNITY HOSPITAL)

Dod Ft Wainwright Ephcy (bassett Army Community Hospital) is a provider established in Ft. Wainwright,, Alaska specializing in military/u.s. coast guard pharmacy. The NPI number of Dod Ft Wainwright Ephcy (bassett Army Community Hospital) is 1295149383 and was assigned on June 2014. The practitioner's primary taxonomy code is 332000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Dod Ft Wainwright Ephcy. The authorized official of this NPI record is Hector Morales (Chief Dha Pass)

NPI

1295149383

Provider NameDOD FT WAINWRIGHT EPHCY (BASSETT ARMY COMMUNITY HOSPITAL)
Provider Location AddressBASSETT ARMY COMMUNITY HOSPITAL MEDDAC-ALASKA 1060 GAFFNEY RD #7400 FT. WAINWRIGHT,, AK 99703
Provider Mailing AddressBASSETT ARMY COMMUNITY HOSPITAL 1060 GAFFNEY RD 7420 FT WAINWRIGHT, AK 99703
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameDOD FT WAINWRIGHT EPHCY
Other Name TypeDoing Business As (3)
Enumeration Date06-17-2014
Last Update Date01-22-2016


Primary Taxonomy

Taxonomy Code332000000X
ClassificationMilitary/U.S. Coast Guard Pharmacy
TypeSuppliers
Taxonomy DescriptionA 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.

Business Address

DOD FT WAINWRIGHT EPHCY
BASSETT ARMY COMMUNITY HOSPITAL
MEDDAC-ALASKA 1060 GAFFNEY RD #7400
FT. WAINWRIGHT,, AK
ZIP 99703
Phone: (907) 361-5758
Fax: (907) 361-4838

Get Directions


Mailing Address

DOD FT WAINWRIGHT EPHCY
BASSETT ARMY COMMUNITY HOSPITAL
1060 GAFFNEY RD 7420
FT WAINWRIGHT, AK
ZIP 99703
Phone: (907) 361-5758
Fax: (907) 361-4838



Authorized Official

Authorized Official Name HECTOR MORALES
Authorized Official TitleCHIEF DHA PASS
Authorized Official Phone(210) 536-6650

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2146334OTHER (01)

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568973188 JAMES PATRICK CONNER PA-C
Individual
Military Health Care ProviderBASSETT ARMY COMMUNITY HOSPITAL 1060 GAFFNEY RD # 7440
FORT WAINWRIGHT, AK 99703
(907) 361-5603
1194294124 CHRISTOPHER GRAHAM PHARMD
Individual
Pharmacist (Ambulatory Care)BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY RD
FORT WAINWRIGHT, AK 99703
(850) 361-5109
1396216511 HEATHER SHEPPARD LCSW
Individual
Social Worker (Clinical)BASSETT ARMY COMMUNITY HOSPITAL 1060 GAFFNEY RD
FT. WAINWRIGHT, AK 99703
(907) 361-5603
1124282512DR. KRISTEN ELIZABETH SHALE VINES MD
Individual
Psychiatry & Neurology (Psychiatry)BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD, BLDG 4076, ROOM 3C-40
FORT WAINWRIGHT, AK 99703
(907) 361-6028
1023401338 KARA PURDY M.D.
Individual
Emergency MedicineBASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
(907) 361-5603
1447231451DR. ERIK LUNDMARK M.D.
Individual
Psychiatry & Neurology (Psychiatry)BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY RAOD
FORT WAINWRIGHT, AK 99703
(907) 361-3507
1790933075 LENA MARIE FABIAN CNM
Individual
Advanced Practice MidwifeBASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
(907) 361-2989
1700327301MR. JASON ANDREW JONES MD
Individual
Internal MedicineBASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
(808) 433-4049

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.