Shopko Stores Operating Co Llc in Lewiston - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1144275884
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Lewiston, 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 1144275884. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 2120 Thain Grade, Lewiston, Idaho. You can contact this provider via phone number 2087461044 and fax number 2087460744. The mailing address for Shopko Stores Operating Co Llc is 2120 Thain Grade, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2120 Thain Grade, Lewiston, Idaho |
| Phone Number | 2087461044 |
| Fax Number | 2087460744 |
| 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 | 1144275884 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 2120 Thain Grade |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835014105 |
| Phone Number | 2087461044 |
| Fax Number | 2087460744 |
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 |
|---|---|---|---|
| 311600 | ID | -- | |
| 806730900 | ID | -- | |
| 215803 | WA LABOR & INDUSTRY | ||
| 4888 | WA LABOR & INDUSTRY | ||
| 1304651 | NCPDP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1144275884 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: 2120 Thain Grade, Lewiston, ID, 835014105.
What is Shopko Stores Operating Co Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144275884 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1144275884 to Shopko Stores Operating Co Llc on 2006-05-23.
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 2014-06-06.
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