Shopko Stores Operating Co Llc in Green River - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1780885228
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Green River, . Shopko Stores Operating Co Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Shopko Stores Operating Co Llc is 1780885228. The last update date is 2013-01-25.
Shopko Stores Operating Co Llc's current location address is 1105 Bridger Dr, Green River, . You can contact this provider via phone number 3078754904 and fax number 3078750192. The mailing address for Shopko Stores Operating Co Llc is 1105 Bridger Dr, Green River, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1105 Bridger Dr, Green River, |
| Phone Number | 3078754904 |
| Fax Number | 3078750192 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1780885228 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2013-01-25 |
Provider Mailing Address Detail
| Address | 1105 Bridger Dr |
|---|---|
| City | Green River |
| State | (WY) |
| Post Code | 829355895 |
| Phone Number | 3078754904 |
| Fax Number | 3078750192 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5204007 | NCPDP NUMBER | ||
| 1780885228 | WY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1780885228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Shopko Stores Operating Co Llc is located?
The Shopko Stores Operating Co Llc is situated at the following address: 1105 Bridger Dr, Green River, WY, 829355895.
What is Shopko Stores Operating Co Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shopko Stores Operating Co Llc's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780885228 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1780885228 to Shopko Stores Operating Co Llc on 2007-05-31.
When was the information related to Shopko Stores Operating Co Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-25.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN