Shopko Stores Operating Co Llc in Saint James - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1881647840
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Saint James, 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 1881647840. The last update date is 2012-09-24.
Shopko Stores Operating Co Llc's current location address is 301 1st Ave S, Saint James, Minnesota. You can contact this provider via phone number 5073758115 and fax number 5073758357. The mailing address for Shopko Stores Operating Co Llc is 301 1st Ave S, Saint James, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 301 1st Ave S, Saint James, Minnesota |
| Phone Number | 5073758115 |
| Fax Number | 5073758357 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1881647840 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 301 1st Ave S |
|---|---|
| City | Saint James |
| State | Minnesota (MN) |
| Post Code | 560811723 |
| Phone Number | 5073758115 |
| Fax Number | 5073758357 |
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 |
|---|---|---|---|
| 728113000 | MN | -- | |
| 891450800 | MN | -- | |
| 2424276 | NCPDP |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1881647840?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1881647840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 301 1St Ave S, Saint James, MN, 560811723.
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 Shopko Stores Operating Co Llc receive its 1881647840 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1881647840 by the Centers for Medicare & Medicaid Services on 2006-05-18.
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 2012-09-24.