The Moose Shack
The Moose Shack is a healthcare organization registered as Assisted Living Facility in Eagle River, AK, holding Type 2 (organization) NPI 1629281126 since 2007. The authorized official on file is Candis Bishop, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629281126 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Moose Shack |
| Other name | <Unavail> |
| Practice address | 19216 CITATION RD, Eagle River, AK, 99577 |
| Phone | 9073510569 |
| Fax | 8882915028 |
| Enumeration date | 2007-05-08 |
| Last updated in NPPES | 2014-10-10 |
Authorized official
| Name | Candis Bishop |
|---|---|
| Title | Ceo |
| Phone | 9073510569 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | 000277 | AK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL09771 | Medicaid | AK | — |
| 1030021 | Medicaid | AK | — |
Copy-ready billing details
Provider: The Moose Shack NPI: 1629281126 Taxonomy: 310400000X (Assisted Living Facility) Address: 19216 CITATION RD, Eagle River, AK, 99577
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699962415 | Moose Shack Coffee | Organization | Assisted Living Facility | Eagle River, AK |
| 1629472683 | The Moose Shack | Organization | Assisted Living Facility | Eagle River, AK |
| 1174486195 | Jades Care Alh | Organization | Assisted Living Facility | Eagle River, AK |
Verify this record
Cross-check NPI 1629281126 against the authoritative CMS record: view The Moose Shack on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for The Moose Shack?
Who is the authorized official for The Moose Shack?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-10-10.