The Moose Shack

The Moose Shack is a healthcare organization registered as Assisted Living Facility in Eagle River, AK, holding Type 2 (organization) NPI 1629472683 since 2014. The authorized official on file is Candis Bishop, Owner.

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NPI	1629472683
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
Enumeration date	2014-10-20
Last updated in NPPES	2014-10-20

Authorized official

Name	Candis Bishop
Title	Owner
Phone	9073510569

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
310400000X	Assisted Living Facility	Primary	101077	AK

Copy-ready billing details

Provider: The Moose Shack
NPI: 1629472683
Taxonomy: 310400000X (Assisted Living Facility)
Address: 19216 CITATION RD, Eagle River, AK, 99577

Providers at this address

NPI	Name	Type	Specialty	Location
1629281126	The Moose Shack	Organization	Assisted Living Facility	Eagle River, AK
1699962415	Moose Shack Coffee	Organization	Assisted Living Facility	Eagle River, AK
1174486195	Jades Care Alh	Organization	Assisted Living Facility	Eagle River, AK

Verify this record

Cross-check NPI 1629472683 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-20. Verify at npiregistry.cms.hhs.gov.

Where is The Moose Shack located?

The practice location on file with NPPES is in Eagle River, AK.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-10-20.