Shopko Stores Operating Co Llc in Evart - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1740469394
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Evart, Michigan. 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 1740469394. The last update date is 2013-02-18.
Shopko Stores Operating Co Llc's current location address is 107 North Main, Evart, Michigan. You can contact this provider via phone number 2317345581 and fax number 2317346170. The mailing address for Shopko Stores Operating Co Llc is 107 North Main, Evart, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 107 North Main, Evart, Michigan |
| Phone Number | 2317345581 |
| Fax Number | 2317346170 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1740469394 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | 107 North Main |
|---|---|
| City | Evart |
| State | Michigan (MI) |
| Post Code | 49631 |
| Phone Number | 2317345581 |
| Fax Number | 2317346170 |
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 |
|---|---|---|---|
| 2370459 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1740469394 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: 107 North Main, Evart, MI, 49631.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740469394 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1740469394 to Shopko Stores Operating Co Llc on 2007-10-31.
As of what date were the details pertaining to Shopko Stores Operating Co Llc last refreshed?
The information related to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated on 2013-02-18.
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