KAMISH CLINIC-WAINWRIGHT (BASSETT ARMY COMMUNITY HOSPITAL) NPI 1427206630
Clinic/Center (Military/U.S. Coast Guard Outpatient) in Ft Wainwright, AK
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 Name | KAMISH CLINIC-WAINWRIGHT (BASSETT ARMY COMMUNITY HOSPITAL) |
| Provider Location Address | 3406 ALDER AVE FT WAINWRIGHT, AK 99703 |
| Provider Mailing Address | 1060 GAFFNEY RD STOP 7420 ATTN MCUC-PAD-TPC FT WAINWRIGHT, AK 99703 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Other Organization Name | KAMISH CLINIC-WAINWRIGHT |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 08-29-2008 |
| Last Update Date | 04-08-2015 |
Primary Taxonomy
| Taxonomy Code | 261QM1100X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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. |
Business Address
KAMISH CLINIC-WAINWRIGHT
3406 ALDER AVE
FT WAINWRIGHT, AK
ZIP 99703
Phone: (907) 361-5172
Mailing Address
KAMISH CLINIC-WAINWRIGHT
1060 GAFFNEY RD STOP 7420
ATTN MCUC-PAD-TPC
FT WAINWRIGHT, AK
ZIP 99703
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 |
|---|---|---|
| VAD000 | MEDICARE UPIN (02) | |
| OTH000 | MEDICARE 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 |
|---|---|---|---|
| 1225310022 | DR. FORREST RUSSELL GEARHART DMD Individual | Dentist (General Practice) | 3406 ALDER AVE FT. WAINWRIGHT, AK 99703 (907) 353-2917 |
| 1417906298 | DR. DAVID CHARLES SCHLENKER D.D.S. Individual | Dentist | 3406 ALDER AVE KAMISH DENTAL CLINIC FORT WAINWRIGHT, AK 99703 (907) 361-5515 |
| 1730383886 | BASSETT 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 Hygienist | 3406 ALDER AVE FORT WAINWRIGHT, AK 99703 (907) 353-2917 |
| 1225433907 | RAYMOND OBERLE PA-C Individual | Physician Assistant | 3406 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.