BASSETT ARMY COMMUNITY HOSPITAL NPI 1164635728

NPI Information

  • NPI: 1164635728
  • Provider Name: BASSETT ARMY COMMUNITY HOSPITAL
  • Classification: Clinic/Center - 261QM1100X
  • Specialization: Military/U.S. Coast Guard Outpatient
  • Entity Type: Organization
  • Doing Business As: TMC RICHARDSON
  • Address: 724 POSTAL SERVICE LOOP STOP 7499
    FORT RICHARDSON, AK
    ZIP 99505
  • Phone: (907) 361-5172

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NPI Details

BASSETT ARMY COMMUNITY HOSPITAL is a military/u.s. coast guard outpatient clinic center in Fort Richardson, AK. The provider is 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. BASSETT ARMY COMMUNITY HOSPITAL NPI is 1164635728. The provider is registered as an organization entity type.
The provider Is Doing Business As Tmc Richardson.

The provider's business location address is:

724 POSTAL SERVICE LOOP STOP 7499
FORT RICHARDSON, AK
ZIP 99505-499
Phone: (907) 361-5172

The provider's authorized official is Timothy Spencer .
The authorized official title is Ubo Manager and has the following contact phone number (907) 361-5948.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 4/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10202387/1497854558OTHERSUBPART NCPDP/NPI2
21699877993OTHERPARENT NPI 2
30202351/1053418806OTHERPARENT NCPDP/NPI2
4VAD000MEDICARE UPIN
5OTH000MEDICARE UPIN
6AN2598588OTHERMEDCO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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