Shopko Stores Operating Co Llc in Belvidere - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1487680443
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Belvidere, Illinois. 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 1487680443. The last update date is 2008-08-14.
Shopko Stores Operating Co Llc's current location address is 1400 Big Thunder Blvd, Belvidere, Illinois. You can contact this provider via phone number 8155473440 and fax number 8155478812. The mailing address for Shopko Stores Operating Co Llc is 1400 Big Thunder Blvd, Belvidere, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1400 Big Thunder Blvd, Belvidere, Illinois |
| Phone Number | 8155473440 |
| Fax Number | 8155478812 |
| 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 | 1487680443 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 1400 Big Thunder Blvd |
|---|---|
| City | Belvidere |
| State | Illinois (IL) |
| Post Code | 610081726 |
| Phone Number | 8155473440 |
| Fax Number | 8155478812 |
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 |
|---|---|---|---|
| 1466223 | NCPDP NUMBER | ||
| 410985054002 | IL | -- |
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) 1487680443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 1400 Big Thunder Blvd, in the city of Belvidere, state of IL, with the zip code 610081726.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co Llc's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487680443 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1487680443 to Shopko Stores Operating Co Llc on 2006-06-23.
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 2008-08-14.