# ACH BASSETT-WAINWRIGHT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACH BASSETT-WAINWRIGHT
- **Other names:** ACH BASSETT-WAINWRIGHT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699877993
- **Legal business name:** ACH BASSETT-WAINWRIGHT
- **Authorized official:** TYRA IVY (UBO MANAGER)
- **Authorized official phone:** (907) 361-5948

## Contact information

- **Practice address:** 1060 GAFFNEY RD \# 7420, FT WAINWRIGHT, AK 99703-7420
- **Practice address phone:** (907) 361-5172
- **Mailing address:** 1060 GAFFNEY RD \#7420, ATTN MCUC-PAD-TPC, FT WAINWRIGHT, AK 99703-7420
- **Mailing address phone:** (907) 361-5948
- **Mailing address fax:** (907) 361-4832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | — |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | NULL | — |
| 2865M2000X | Military General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 05/21/2025