NPIMap

Organization Active NPI

Ach Bassett-Wainwright

  • Military General Acute Care Hospital
  • Fort Wainwright, AK
National Provider Identifier
1699877993
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
ACH BASSETT-WAINWRIGHT
Practice address
1060 Gaffney Rd # 7420
Ft Wainwright, AK 99703-7420
Phone
(907) 361-5172
NPI assigned
Sep 5, 2006
Organization subpart
Yes
Parent organization
ACH BASSETT-WAINWRIGHTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Tyra Ivy
Title
Ubo Manager
Phone
(907) 361-5948

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X
Military General Acute Care Hospital 2865M2000X Primary

Addresses

Primary practice location

1060 Gaffney Rd # 7420
Ft Wainwright, AK 99703-7420

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0202351OtherPHARMACY NCPDP
AN2598588OtherMEDCO

Other names 1

  • ACH BASSETT-WAINWRIGHT Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1699877993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD #7420",
            "address_2": "ATTN MCUC-PAD-TPC",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037420",
            "telephone_number": "907-361-5948",
            "fax_number": "907-361-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD # 7420",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037420",
            "telephone_number": "907-361-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACH BASSETT-WAINWRIGHT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACH BASSETT-WAINWRIGHT",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "TYRA",
        "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": false
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NCPDP",
            "identifier": "0202351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO",
            "identifier": "AN2598588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACH BASSETT-WAINWRIGHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 21, 2025; 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.