Shopko Stores Operating Co Llc in Greybull - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1114113511
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Greybull, . 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 1114113511. The last update date is 2012-10-15.
Shopko Stores Operating Co Llc's current location address is 925 N 6th St, Greybull, . You can contact this provider via phone number 3077654601 and fax number 3077654600. The mailing address for Shopko Stores Operating Co Llc is 925 N 6th St, Greybull, . To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 925 N 6th St, Greybull, |
Phone Number | 3077654601 |
Fax Number | 3077654600 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Bettiga Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1114113511 |
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Provider Enumeration Date | 2007-09-19 |
Last Updated Date | 2012-10-15 |
Provider Mailing Address Detail
Address | 925 N 6th St |
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City | Greybull |
State | (WY) |
Post Code | 82426 |
Phone Number | 3077654601 |
Fax Number | 3077654600 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
125144900 | WY | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1114113511?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1114113511. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 925 N 6Th St, Greybull, WY, 82426.
What is Shopko Stores Operating Co Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
When did Shopko Stores Operating Co Llc receive its 1114113511 assignment?
The Shopko Stores Operating Co Llc was assigned its 1114113511 on 2007-09-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-15.
NPI Number: 1043212376
Address: 1050 Las Tablas Rd, Templeton, CA