NPIMap

Organization Active NPI

Bassett Army Community Hospital

Doing business as Kamish Clinic-Wainwright

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Wainwright, AK
National Provider Identifier
1427206630
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BASSETT ARMY COMMUNITY HOSPITAL
Doing business as
Kamish Clinic-Wainwright
Practice address
3406 Alder Ave
Ft Wainwright, AK 99703
Phone
(907) 361-5172
NPI assigned
Aug 29, 2008
Organization subpart
Yes
Parent organization
BASSETT ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Spencer
Title
Ubo Manager
Phone
(907) 361-5948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

3406 Alder Ave
Ft Wainwright, AK 99703

Mailing address

1060 Gaffney Rd Stop 7420
Attn McUc-Pad-TPC
Ft Wainwright, AK 99703-5007
Phone (907) 361-5948

Other names 1

  • KAMISH CLINIC-WAINWRIGHT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bassett Army Community Hospital11 organizations share this tax ID, including this one
Part of
Bassett Army Community Hospital

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1427206630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7420",
            "address_2": "ATTN MCUC-PAD-TPC",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 ALDER AVE",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSETT ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BASSETT ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2008-08-29",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "907-361-5948"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAMISH CLINIC-WAINWRIGHT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wainwright, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.