KAMISH CLINIC-WAINWRIGHT (BASSETT ARMY COMMUNITY HOSPITAL) NPI 1427206630

Clinic/Center (Military/U.S. Coast Guard Outpatient) in Ft Wainwright, AK

NPI 1427206630 Organization Clinic/Center Military/U.S. Coast Guard Outpatient

About KAMISH CLINIC-WAINWRIGHT (BASSETT ARMY COMMUNITY HOSPITAL)

Kamish Clinic-wainwright (bassett Army Community Hospital) is a provider established in Ft Wainwright, Alaska specializing in clinic/center (military/u.s. coast guard outpatient) . The NPI number of Kamish Clinic-wainwright (bassett Army Community Hospital) is 1427206630 and was assigned on August 2008. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Kamish Clinic-wainwright. The authorized official of this NPI record is Timothy Spencer (Ubo Manager)

NPI

1427206630

Provider NameKAMISH CLINIC-WAINWRIGHT (BASSETT ARMY COMMUNITY HOSPITAL)
Provider Location Address3406 ALDER AVE FT WAINWRIGHT, AK 99703
Provider Mailing Address1060 GAFFNEY RD STOP 7420 ATTN MCUC-PAD-TPC FT WAINWRIGHT, AK 99703
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameKAMISH CLINIC-WAINWRIGHT
Other Name TypeDoing Business As (3)
Enumeration Date08-29-2008
Last Update Date04-08-2015


Primary Taxonomy

Taxonomy Code261QM1100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMilitary/U.S. Coast Guard Outpatient
Taxonomy DescriptionThe 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.

Business Address

KAMISH CLINIC-WAINWRIGHT
3406 ALDER AVE
FT WAINWRIGHT, AK
ZIP 99703
Phone: (907) 361-5172

Get Directions


Mailing Address

KAMISH CLINIC-WAINWRIGHT
1060 GAFFNEY RD STOP 7420
ATTN MCUC-PAD-TPC
FT WAINWRIGHT, AK
ZIP 99703
Phone: (907) 361-5948



Authorized Official

Authorized Official Name TIMOTHY SPENCER
Authorized Official TitleUBO MANAGER
Authorized Official Phone(907) 361-5948

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
VAD000MEDICARE UPIN (02)
OTH000MEDICARE UPIN (02)

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225310022DR. FORREST RUSSELL GEARHART DMD
Individual
Dentist (General Practice)3406 ALDER AVE
FT. WAINWRIGHT, AK 99703
(907) 353-2917
1417906298DR. DAVID CHARLES SCHLENKER D.D.S.
Individual
Dentist3406 ALDER AVE KAMISH DENTAL CLINIC
FORT WAINWRIGHT, AK 99703
(907) 361-5515
1730383886BASSETT ARMY COMMUNITY HOSPITAL
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)3406 ALDER AVE MCDS-DD-TDC
FT WAINWRIGHT, AK 99703
(907) 361-5172
1740631357 CHRISTOPHER COLEMAN
Individual
Dental Hygienist3406 ALDER AVE
FORT WAINWRIGHT, AK 99703
(907) 353-2917
1225433907 RAYMOND OBERLE PA-C
Individual
Physician Assistant3406 ALDER AVE
FORT WAINWRIGHT, AK 99703
(907) 353-4127
1881204857 TAYLOR CASE DDS
Individual
Dentist (General Practice)3406 ALDER AVE
FORT WAINWRIGHT, AK 99703
(907) 353-2917

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.