Healthcare Provider Details

I. General information

NPI: 1295149383
Provider Name (Legal Business Name): ACH BASSETT-WAINWRIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BASSETT ARMY COMMUNITY HOSPITAL MEDDAC-ALASKA 1060 GAFFNEY RD #7400
FT. WAINWRIGHT AK
99703-7400
US

IV. Provider business mailing address

BASSETT ARMY COMMUNITY HOSPITAL 1060 GAFFNEY RD 7420
FT WAINWRIGHT AK
99703
US

V. Phone/Fax

Practice location:
  • Phone: 907-361-5758
  • Fax: 907-361-4838
Mailing address:
  • Phone: 907-361-5758
  • Fax: 907-361-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2146334
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: HECTOR MORALES
Title or Position: CHIEF DHA PASS
Credential:
Phone: 210-536-6650