Organization · Type 2 NPI

Prodigy Medical, LLC

Oxygen Equipment & Supplies (DME) · Anchorage, AK

NPI number 1912473885 Active

Practice location

3000 A St Ste 405
Anchorage, AK 99503-4040

Fax (907) 782-4208

Mailing address

4107 Hohe St
Homer, AK 99603-7008

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone listed
Oxygen Equipment & Supplies (DME) Primary 332BX2000XNone listed

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1912473885

Prodigy Medical, LLC's National Provider Identifier is 1912473885, issued on Oct 18, 2018. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Anchorage, AK. The record was last updated on Jan 14, 2026.