Shopko Stores Operating Co Llc in Gladwin - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1134172794
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Gladwin, 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 1134172794. The last update date is 2015-12-14.
Shopko Stores Operating Co Llc's current location address is 174 James Robertson Dr, Gladwin, Michigan. You can contact this provider via phone number 9894267020 and fax number 9894267155. The mailing address for Shopko Stores Operating Co Llc is 174 James Robertson Dr, Gladwin, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 174 James Robertson Dr, Gladwin, Michigan |
| Phone Number | 9894267020 |
| Fax Number | 9894267155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP AND CO |
|---|---|
| Authorized Official Name | Steinhorst Russell |
| Telephone Number | 9204297489 |
NPI Number Detail
| NPI Number | 1134172794 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
| Address | 174 James Robertson Dr |
|---|---|
| City | Gladwin |
| State | Michigan (MI) |
| Post Code | 486247006 |
| Phone Number | 9894267020 |
| Fax Number | 9894267155 |
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 |
|---|---|---|---|
| 4913866 | MI | -- | |
| 3247754 | MI | -- | |
| 2355661 | MI | -- | |
| 2355661 | NCPDP NUMBER | ||
| 4819283 | MI | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's unique identification number?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) Number 1134172794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 174 James Robertson Dr, Gladwin, MI 486247006.
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 1134172794 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1134172794 to Shopko Stores Operating Co Llc on 2006-05-17.
When was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-14.
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