Moose Shack Coffee
Moose Shack Coffee is a healthcare organization registered as Assisted Living Facility in Eagle River, AK, holding Type 2 (organization) NPI 1699962415 since 2007. The authorized official on file is Candis Bishop, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699962415 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moose Shack Coffee |
| Other name | <Unavail> |
| Practice address | 19216 CITATION RD, Eagle River, AK, 99577 |
| Phone | 9073510569 |
| Enumeration date | 2007-09-25 |
| Last updated in NPPES | 2014-09-19 |
Authorized official
| Name | Candis Bishop |
|---|---|
| Title | Owner |
| Phone | 9073510569 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | 101077 | AK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL09771 | Medicaid | AK | — |
Copy-ready billing details
Provider: Moose Shack Coffee NPI: 1699962415 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 |
| 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 1699962415 against the authoritative CMS record: view Moose Shack Coffee 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 type of organization is Moose Shack Coffee?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-09-19.