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BOUNTIFUL
NPI 1114736899
Meals in Ketchikan, AK

Active since January 06, 2025
25 JEFFERSON WAY STE 102, KETCHIKAN, AK 99901(201) 259-0289(973) 215-2052 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bountiful NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNTIFUL (NPI 1114736899) is a healthcare organization registered as a meals in Ketchikan, Alaska and active in the NPI registry since January 2025. The organization lists Kevin Arthur Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1114736899
Entity TypeOrganization
Primary Taxonomy174200000X
Legal Business NameBOUNTIFUL
Location Address25 JEFFERSON WAY STE 102Ketchikan, AK 99901-5953
Mailing Address25 Jefferson Way Ste 102Ketchikan, AK 99901-5953 · (201) 259-0289 · Fax (973) 215-2052
Phone(201) 259-0289
Fax(973) 215-2052
Organization SubpartNo
Authorized OfficialKevin Arthur HallOwner · (201) 259-0289
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1114736899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMealsOther Service Providers
Taxonomy Code174200000X
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
25 JEFFERSON WAY STE 102, Ketchikan, AK 99901
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Other Names 1

Other NameCapitolmed Llc Dba Polaris Healthcare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bountiful's NPI number?

The NPI number for Bountiful is 1114736899. It was assigned to this organization in the NPPES registry on January 6, 2025. The provider is also known as CapitolMed LLC dba Polaris Healthcare.

Where is Bountiful located?

Bountiful is located at 25 Jefferson Way Ste 102, Ketchikan, AK 99901. The listed phone number is (201) 259-0289.

What is Bountiful's specialty?

The primary specialty registered for this NPI is Meals with taxonomy code 174200000X.

When was this NPI record last updated?

The NPPES record for Bountiful was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.