KAMISH CLINIC-WAINWRIGHT
NPI 1427206630
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ft Wainwright, AK

NPI Status: Active since August 29, 2008

Contact Information

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

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About KAMISH CLINIC-WAINWRIGHT

This page provides the complete NPI Profile along with additional information for Kamish Clinic-wainwright, a provider established in Ft Wainwright, Alaska operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1427206630 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 10 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 Legal Name
BASSETT ARMY COMMUNITY HOSPITAL
Other Organization Name
KAMISH CLINIC-WAINWRIGHT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3406 ALDER AVE FT WAINWRIGHT, AK 99703
Location Phone
(907) 361-5172
Mailing Address
1060 GAFFNEY RD STOP 7420 ATTN MCUC-PAD-TPC FT WAINWRIGHT, AK 99703
Mailing Phone
(907) 361-5948
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-29-2008
Last Update Date
04-08-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMOTHY SPENCER

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(907) 361-5948

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
VAD000MEDICARE UPIN (02) 
OTH000MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427206630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447401266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 0 + 1 + 2 + 6 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427206630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

DR. FORREST RUSSELL GEARHART DMD

Dentist

(General Practice)

3406 ALDER AVE
FT. WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

BASSETT ARMY COMMUNITY HOSPITAL

Clinic/Center

(Military/U.S. Coast Guard Outpatient)

3406 ALDER AVE
MCDS-DD-TDC
FT WAINWRIGHT, AK
ZIP 99703

(907) 361-5172

CHRISTOPHER COLEMAN

Dental Hygienist

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

TAYLOR CASE DDS

Dentist

(General Practice)

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

MEGAN STAYER RDH

Dental Hygienist

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

DR. DANIEL CRAIG BOTHWELL D.O.

Family Medicine

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(073) 531-2389

MORGAN SCHWOCH MD

Family Medicine

3406 ALDER AVE
FT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

DR. TINA L GRAY DDS

Dentist

(General Practice)

3406 ALDER AVE
DENTAC - ALASKA
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

CYNTHIA LOUISE STINNETT

Physician Assistant

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-1433

MARIA ISABEL APONTE TORRES PA-C

Military Health Care Provider

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-1433

DR. JIMMY CHEN DMD

Dentist

(Prosthodontics)

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

MS. REGINA LYNN DAVIS LCSW

Counselor

(Mental Health)

3406 ALDER AVE
KAMISH CLINIC
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-4126

MR. JESSE TYLER-GUILL KING PA-C

Physician Assistant

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2917

MR. SEAN EDWARD ALLWORTH PA-C

Physician Assistant

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(907) 353-2426

BRINON AUBRY ROGERS II

Physician Assistant

3406 ALDER AVE
FORT WAINWRIGHT, AK
ZIP 99703

(073) 532-9179

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427206630, enumerated in the NPI registry as an "organization" on August 29, 2008

The provider is located at 3406 Alder Ave Ft Wainwright, Ak 99703 and the phone number is (907) 361-5172

This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 29, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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