Shopko Stores Operating Co Llc in Aitkin - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1689628356
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Aitkin, Minnesota. 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 1689628356. The last update date is 2012-10-05.
Shopko Stores Operating Co Llc's current location address is 190 Southgate Dr, Aitkin, Minnesota. You can contact this provider via phone number 2189272466 and fax number 2189272597. The mailing address for Shopko Stores Operating Co Llc is 190 Southgate Dr, Aitkin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 190 Southgate Dr, Aitkin, Minnesota |
| Phone Number | 2189272466 |
| Fax Number | 2189272597 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1689628356 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | 190 Southgate Dr |
|---|---|
| City | Aitkin |
| State | Minnesota (MN) |
| Post Code | 564317407 |
| Phone Number | 2189272466 |
| Fax Number | 2189272597 |
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 |
|---|---|---|---|
| 209860100 | MN | -- | |
| 777133000 | MN | -- | |
| 2420482 | NDPDP |
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) 1689628356 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 190 Southgate Dr, Aitkin, MN 564317407.
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.
On what date did Shopko Stores Operating Co Llc receive its 1689628356 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1689628356 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-05.