Organization
BASSETT ARMY COMMUNITY HOSPITAL
Active
Parent organization
BASSETT ARMY COMMUNITY HOSPITAL
Other names
TMC RICHARDSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
BASSETT ARMY COMMUNITY HOSPITAL
Authorized official
TIMOTHY SPENCER (UBO MANAGER)
(907) 361-5948
Entity
Organization
Contact information
Practice address
724 POSTAL SERVICE LOOP STOP 7499, FORT RICHARDSON, AK 99505-7499
(907) 361-5172
Mailing address
1060 GAFFNEY RD STOP 7420, ATTN MCUC-PAD-TPC, FT WAINWRIGHT, AK 99703-5007
(907) 361-5948
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202351/1053418806
PARENT NCPDP/NPI2
—
01
—
0202387/1497854558
SUBPART NCPDP/NPI2
—
01
—
1699877993
PARENT NPI 2
—
01
—
AN2598588
MEDCO
—
Enumeration date
05/08/2007
Last updated
04/08/2015
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