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Prodigy Medical, LLC — NPI 1073551131, Homer, AK | NPI Central

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NPI 1073551131

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Prodigy Medical, LLC

NPI 1073551131 · Oxygen Equipment & Supplies (DME) · Homer, AK

Provider details

NPI number: 1073551131
Entity type: Organization
Primary specialty: Oxygen Equipment & Supplies (DME)Suppliers
Organization subpart: No
Authorized official: Berenice Halpin, Partner(907) 299-3500

Specialties & taxonomies

Oxygen Equipment & Supplies (DME)Primary332BX2000XLicense 991850 (AK)
Suppliers
Parenteral & Enteral Nutrition Supplies (DME)332BP3500X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

4107 Hohe St

Homer, AK 99603-7008

Phone: (907) 226-3400

Fax: (907) 226-3300

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

4107 Hohe St

Homer, AK 99603-7008

Registry dates

Enumerated: 2006-06-02
Last updated: 2025-12-30
Certified: 2025-12-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.