Shopko Stores Operating Co Llc in Ely - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1629021514
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Ely, 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 1629021514. The last update date is 2012-08-21.
Shopko Stores Operating Co Llc's current location address is 1500 E Sheridan St, Ely, Minnesota. You can contact this provider via phone number 2183657123 and fax number 2183657124. The mailing address for Shopko Stores Operating Co Llc is 1500 E Sheridan St, Ely, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1500 E Sheridan St, Ely, Minnesota |
| Phone Number | 2183657123 |
| Fax Number | 2183657124 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1629021514 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2012-08-21 |
Provider Mailing Address Detail
| Address | 1500 E Sheridan St |
|---|---|
| City | Ely |
| State | Minnesota (MN) |
| Post Code | 557311229 |
| Phone Number | 2183657123 |
| Fax Number | 2183657124 |
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 |
|---|---|---|---|
| 459230078 | MEDICARE ID - TYPE UNSPECIFIED |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1629021514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
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: 1500 E Sheridan St, Ely, MN 557311229.
What is Shopko Stores Operating Co Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the Shopko Stores Operating Co Llc receive its 1629021514 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1629021514 by the Centers for Medicare & Medicaid Services on 2006-05-19.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2012-08-21.