Shopko Stores Operating Co Llc in Luverne - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1538112644
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Luverne, 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 1538112644. The last update date is 2012-10-01.
Shopko Stores Operating Co Llc's current location address is 405 W Interstate Dr, Luverne, Minnesota. You can contact this provider via phone number 5072832156 and fax number 5072832168. The mailing address for Shopko Stores Operating Co Llc is 405 W Interstate Dr, Luverne, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 405 W Interstate Dr, Luverne, Minnesota |
| Phone Number | 5072832156 |
| Fax Number | 5072832168 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1538112644 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | 405 W Interstate Dr |
|---|---|
| City | Luverne |
| State | Minnesota (MN) |
| Post Code | 561562266 |
| Phone Number | 5072832156 |
| Fax Number | 5072832168 |
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 |
|---|---|---|---|
| 2422258 | NCPDP | ||
| 545160 | IA | -- | |
| 722538 | IA | -- | |
| 117475000 | MN | -- | |
| 9167850 | SD | -- | |
| 546523100 | MN | -- | |
| 8530530 | SD | -- | |
| 8530532 | SD | -- |
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What is the Shopko Stores Operating Co Llc's 1538112644?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1538112644. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 405 W Interstate Dr, Luverne, MN 561562266.
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.
When did Shopko Stores Operating Co Llc receive its 1538112644 assignment?
The Shopko Stores Operating Co Llc was assigned its 1538112644 on 2006-05-18, which is the date when this unique identifier was issued to the organization.
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 2012-10-01.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY