Shopko Stores Operating Co Llc in Dubuque - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1407807308
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Dubuque, 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 1407807308. The last update date is 2008-08-14.
Shopko Stores Operating Co Llc's current location address is 255 John F Kennedy Rd, Dubuque, Iowa. You can contact this provider via phone number 5635835808 and fax number 5635835804. The mailing address for Shopko Stores Operating Co Llc is 255 John F Kennedy Rd, Dubuque, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 255 John F Kennedy Rd, Dubuque, Iowa |
| Phone Number | 5635835808 |
| Fax Number | 5635835804 |
| 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 | 1407807308 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 255 John F Kennedy Rd |
|---|---|
| City | Dubuque |
| State | Iowa (IA) |
| Post Code | 520025313 |
| Phone Number | 5635835808 |
| Fax Number | 5635835804 |
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 |
|---|---|---|---|
| 1619696 | NCPDP NUMBER | ||
| 33236500 | WI | -- | |
| 495309 | IA | -- | |
| 181107 | IA | -- | |
| 410985054164 | IL | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1407807308?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1407807308. This unique 10-digit identification number is assigned to health care providers 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 255 John F Kennedy Rd, Dubuque, IA 520025313.
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.
When did the Shopko Stores Operating Co Llc receive its 1407807308?
The Shopko Stores Operating Co Llc was issued its 1407807308 on 2006-05-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Shopko Stores Operating Co Llc most recently updated?
The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-08-14.