Shopko Stores Operating Co Llc in Waukon - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1316990716
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Waukon, 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 1316990716. The last update date is 2012-10-25.
Shopko Stores Operating Co Llc's current location address is 819 11th Ave Sw, Waukon, Iowa. You can contact this provider via phone number 5635683668 and fax number 5635683693. The mailing address for Shopko Stores Operating Co Llc is 819 11th Ave Sw, Waukon, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 819 11th Ave Sw, Waukon, Iowa |
| Phone Number | 5635683668 |
| Fax Number | 5635683693 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1316990716 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-10-25 |
Provider Mailing Address Detail
| Address | 819 11th Ave Sw |
|---|---|
| City | Waukon |
| State | Iowa (IA) |
| Post Code | 521727593 |
| Phone Number | 5635683668 |
| Fax Number | 5635683693 |
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 |
|---|---|---|---|
| 495804 | IA | -- | |
| 174805 | IA | -- | |
| 1619343 | NCPDP |
Post Comment/ Review Below
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) 1316990716. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co Llc are physically situated at the following location: 819 11Th Ave Sw, Waukon, IA, 521727593.
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.
On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1316990716 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1316990716 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2012-10-25.