Shopko Stores Operating Co Llc in Doniphan - Durable Medical Equipment & Medical Supplies

Shopko Stores Operating Co Llc - NPI 1386825248

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Doniphan, Missouri. 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 1386825248. The last update date is 2012-05-23.

Shopko Stores Operating Co Llc's current location address is 111 Leroux Dr, Doniphan, Missouri. You can contact this provider via phone number 5739962311 and fax number 5739967415. The mailing address for Shopko Stores Operating Co Llc is 111 Leroux Dr, Doniphan, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 111 Leroux Dr, Doniphan, Missouri
Phone Number 5739962311
Fax Number 5739967415
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXCUTIVE V
Authorized Official Name Bettiga Michael
Credentials RPH
Telephone Number 9204294297

NPI Number Detail

NPI Number 1386825248
Provider Enumeration Date 2007-11-20
Last Updated Date 2012-05-23

Provider Mailing Address Detail

Address 111 Leroux Dr
City Doniphan
State Missouri (MO)
Post Code 63935
Phone Number 5739962311
Fax Number 5739967415

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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FAQs about Shopko Stores Operating Co Llc

What is the Shopko Stores Operating Co Llc's 1386825248?

The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1386825248. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (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: 111 Leroux Dr, Doniphan, MO 63935.

What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of expertise is 332B00000X.

On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1386825248 from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was issued its 1386825248 by the Centers for Medicare & Medicaid Services on 2007-11-20.

As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-23.

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