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Contact Information

PRODIGY MEDICAL, LLC
3000 A ST STE 405
ANCHORAGE, AK99503-4040
 Phone: 907-444-8876
 Fax: 907-782-4208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PRODIGY MEDICAL, LLC

NPI # 1912473885
LBN Legal business name PRODIGY MEDICAL, LLC
Authorized official MARK HALPIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2018
Last updated 01/14/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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