Provider Demographics
NPI:1982906749
Name:BASSETT ARMY COMMUNITY HOSPITAL/PUBLIC HEALTH
Entity Type:Organization
Organization Name:BASSETT ARMY COMMUNITY HOSPITAL/PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARMY PUBLIC HEALTH NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:MONIC
Authorized Official - Last Name:LANKSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-586-1592
Mailing Address - Street 1:4076 NEELY ROAD
Mailing Address - Street 2:BASSETT ARMY COMMUNITY HOSPITAL ATTN BELINDA LANKSTER
Mailing Address - City:FORT WAINWRIGHT
Mailing Address - State:AK
Mailing Address - Zip Code:99703-7440
Mailing Address - Country:US
Mailing Address - Phone:251-586-1592
Mailing Address - Fax:
Practice Address - Street 1:4076 NEELY ROAD
Practice Address - Street 2:BASSETT ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT WAINWRIGHT
Practice Address - State:AK
Practice Address - Zip Code:99703-7440
Practice Address - Country:US
Practice Address - Phone:251-586-1592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare