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

Shopko Stores Operating Co Llc - NPI 1700042884

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Council Bluffs, Iowa. 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 1700042884. The last update date is 2009-05-13.

Shopko Stores Operating Co Llc's current location address is 3271 Marketplace Dr, Council Bluffs, Iowa. You can contact this provider via phone number 7123660377 and fax number 7123669020. The mailing address for Shopko Stores Operating Co Llc is 3271 Marketplace Dr, Council Bluffs, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 3271 Marketplace Dr, Council Bluffs, Iowa
Phone Number 7123660377
Fax Number 7123669020
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1700042884
Provider Enumeration Date 2008-07-29
Last Updated Date 2009-05-13

Provider Mailing Address Detail

Address 3271 Marketplace Dr
City Council Bluffs
State Iowa (IA)
Post Code 51501
Phone Number 7123660377
Fax Number 7123669020

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
1623621 NCPDP
10025730800 NE --
1700042884 WELLMARK BCBS IA DME BLUE SHIE
1700042884 IA --

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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) 1700042884. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Shopko Stores Operating Co Llc located?

The Shopko Stores Operating Co Llc is located at 3271 Marketplace Dr, Council Bluffs, IA 51501.

What is the Shopko Stores Operating Co Llc's area of specialization and corresponding taxonomy classification?

The Shopko Stores Operating Co Llc's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.

When did Shopko Stores Operating Co Llc receive its 1700042884 assignment?

The Shopko Stores Operating Co Llc was assigned its 1700042884 on 2008-07-29, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-13.

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