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Prodigy Medical, Llc
Oxygen Equipment & Supplies (DME) in Homer, Alaska
NPI 1073551131

Prodigy Medical, Llc is a Oxygen Equipment & Supplies (DME) based in Homer, AK and is specialized in Oxygen Equipment & Supplies. Prodigy Medical, Llc practices in Homer, AK. The NPI Number for Prodigy Medical, Llc is 1073551131 and holds a License No. (Alaska).

The current practice location address for Prodigy Medical, Llc is 4251 Hohe St, Homer, AK and can be reached out via phone at 907-226-3400 and via fax at 907-226-3300.

Location: 4251 Hohe St, Homer, AK, 99603-7010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073551131
Provider Name
Prodigy Medical, Llc
Credential
Provider Entity Type
Organization
Address
4251 Hohe St, Homer, AK, 99603-7010
Phone Number
907-226-3400
Fax Number
907-226-3300
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598711 05 AK
institution
Provider Business Practice Location Address Details
Address
4251 Hohe St
City
Homer
State
Alaska
Zip
99603-7010
Phone Number
907-226-3400
Fax Number
907-226-3300
person
Provider Business Mailing Address Details
Address
4251 Hohe St
City
Homer
State
Alaska
Zip
99603-7010
Phone Number
907-226-3400
Fax Number
907-226-3300
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
991850 (Alaska)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
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