Organization Active NPI

Kamuck Incorporated

  • Oxygen Equipment & Supplies (DME)
  • Soldotna, AK
National Provider Identifier
1972653558
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
740316 Issued in AK
Legal business name
KAMUCK INCORPORATED
Practice address
35911 Kenai Spur Hwy Ste 11
Soldotna, AK 99669-7155
Phone
(907) 260-4433
Fax
(907) 260-3757
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Patricia Morrell
Title
Ceo
Phone
(907) 260-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 740316 AK Primary

Addresses

Primary practice location

35911 Kenai Spur Hwy Ste 11
Soldotna, AK 99669-7155

Mailing address

PO Box 1103
Soldotna, AK 99669-1103
Phone (907) 260-4433

Other identifiers 2

IdentifierTypeStateIssuer
MS2551MedicaidAK
MS7112MedicaidAK

Other names 1

  • Alaskare Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1972653558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1103",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996691103",
            "telephone_number": "907-260-4433",
            "fax_number": "907-260-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35911 KENAI SPUR HWY STE 11",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697155",
            "telephone_number": "907-260-4433",
            "fax_number": "907-260-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMUCK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-260-4433"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AK",
            "license": "740316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS2551",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS7112",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaskare Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaskare Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.