Shopko Stores Operating Co Llc in Boise - Durable Medical Equipment & Medical Supplies

Shopko Stores Operating Co Llc - NPI 1073568234

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Boise, Idaho. 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 1073568234. The last update date is 2014-03-21.

Shopko Stores Operating Co Llc's current location address is 8105 Fairview Ave, Boise, Idaho. You can contact this provider via phone number 2083239297 and fax number 2083270622. The mailing address for Shopko Stores Operating Co Llc is 8105 Fairview Ave, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 8105 Fairview Ave, Boise, Idaho
Phone Number 2083239297
Fax Number 2083270622
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR. VICE P
Authorized Official Name Bettiga J Michael
Credentials RPH
Telephone Number 9204294297

NPI Number Detail

NPI Number 1073568234
Provider Enumeration Date 2006-05-24
Last Updated Date 2014-03-21

Provider Mailing Address Detail

Address 8105 Fairview Ave
City Boise
State Idaho (ID)
Post Code 837048486
Phone Number 2083239297
Fax Number 2083270622

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1304500 NCPDP NUMBER
123400 ID --

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FAQs about Shopko Stores Operating Co Llc

What is the unique identification code assigned to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1073568234. This 10-digit code serves as a unique identifier for healthcare providers, assigned 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: 8105 Fairview Ave, Boise, ID, 837048486.

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.

When did the Shopko Stores Operating Co Llc receive its 1073568234?

The Shopko Stores Operating Co Llc was issued its 1073568234 on 2006-05-24, which is the date when the organization was assigned this unique identifier.

When was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-03-21.

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