Shopko Stores Operating Co Llc in Sioux City - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1407807118
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Sioux City, 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 1407807118. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 3025 Hamilton Blvd, Sioux City, Iowa. You can contact this provider via phone number 7122558055 and fax number 7122554784. The mailing address for Shopko Stores Operating Co Llc is 3025 Hamilton Blvd, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 3025 Hamilton Blvd, Sioux City, Iowa |
| Phone Number | 7122558055 |
| Fax Number | 7122554784 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Micael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1407807118 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 3025 Hamilton Blvd |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511042407 |
| Phone Number | 7122558055 |
| Fax Number | 7122554784 |
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 |
|---|---|---|---|
| 8531562 | SD | -- | |
| 9164712 | SD | -- | |
| 495028 | IA | -- | |
| 1613531 | NCPDP NUMBER | ||
| 41098505408 | NE | -- | |
| 8531560 | SD | -- | |
| 10025413500 | NE | -- | |
| 208470 | IA | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1407807118?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1407807118. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is physically situated at the following address: 3025 Hamilton Blvd, Sioux City, IA, 511042407.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407807118 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1407807118 to Shopko Stores Operating Co Llc on 2006-05-15.
As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-06.