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The Moose Shack

Assisted Living Facility in Eagle River, AK · enumerated 2007 · authorized official Candis Bishop, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629281126

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Registry record

Entity type Organization (Type 2)
Legal business name The Moose Shack
Other name <Unavail>
Practice address 19216 Citation Rd, Eagle River, AK, 99577
Phone (907) 351-0569
Fax (888) 291-5028
Enumeration date May 8, 2007
Last updated in NPPES Oct 10, 2014

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 000277 (AK) Primary

Authorized official

Name Candis Bishop
Title Ceo
Phone (907) 351-0569

Other identifiers

Identifier Type State Issuer
RL09771 Medicaid AK -
1030021 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for The Moose Shack?
The NPI for The Moose Shack is 1629281126, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for The Moose Shack?
NPPES lists Candis Bishop (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-10.