Prodigy Medical, Llc

LBN: Prodigy Medical, Llc
Prodigy Medical, Llc is an health care organization with primary practice located at 4251 Hohe St , Homer AK 99603-7010. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Prodigy Medical, Llc can be contacted via phone (907) 226-3400, or through Halpin, Berenice I via phone (907) 299-3500.

Contact Information

Primary practice address
4251 Hohe St Homer AK 99603-7010
Phone: (907) 226-3400
Fax: (907) 226-3300
Website:
Map and Directions
Authorized official contact:
Name: Halpin, Berenice I
Phone: (907) 299-3500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 991850 Alaska

Profile Details

NPI number 1073551131
LBN Legal business name Prodigy Medical, Llc
DBA Doing business as
Authorized official Halpin, Berenice I
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 2nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073551131 NPPES
Alaska MEDICAID 1598711

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