Shopko Stores Operating Co Llc in Worthington - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1063466852
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Worthington, 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 1063466852. The last update date is 2014-01-21.
Shopko Stores Operating Co Llc's current location address is 1755 N Humiston Ave, Worthington, Minnesota. You can contact this provider via phone number 5073769309 and fax number 5073727840. The mailing address for Shopko Stores Operating Co Llc is 1755 N Humiston Ave, Worthington, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 1755 N Humiston Ave, Worthington, Minnesota |
Phone Number | 5073769309 |
Fax Number | 5073727840 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. VICE P |
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Authorized Official Name | Bettiga J Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1063466852 |
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Provider Enumeration Date | 2006-05-19 |
Last Updated Date | 2014-01-21 |
Provider Mailing Address Detail
Address | 1755 N Humiston Ave |
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City | Worthington |
State | Minnesota (MN) |
Post Code | 561871757 |
Phone Number | 5073769309 |
Fax Number | 5073727840 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
60258200 | MN | -- | |
509463 | IA | -- | |
788690100 | MN | -- | |
166523500 | MN | -- | |
2416801 | NCPDP NUMBER | ||
722512 | IA | -- |
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 1063466852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is physically situated at 1755 N Humiston Ave, in the city of Worthington, state of MN, with the postal code 561871757.
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 1063466852 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1063466852 by the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-21.