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The Moose Shack

Assisted Living Facility in Eagle River, AK · enumerated 2014 · authorized official Candis Bishop, Owner.

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

National Provider Identifier

1629472683

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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
Enumeration date Oct 20, 2014
Last updated in NPPES Oct 20, 2014

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 101077 (AK) Primary

Authorized official

Name Candis Bishop
Title Owner

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

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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-20.