Organization Name: | BASSETT ARMY COMMUNITY HOSPITAL |
NPI Number: | 1053383513 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANNA TIBBITTS (STAFF NURSE) |
Mailing Address: | 1060 Gaffney Rd Ft Wainwright |
State: | AK US |
Postal Code: | 997035001 |
Phone Number: | 8 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 84432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |