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

Shopko Stores Operating Co Llc - NPI 1598950214

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Palmyra, 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 1598950214. The last update date is 2012-05-23.

Shopko Stores Operating Co Llc's current location address is 502 E Ross St, Palmyra, Missouri. You can contact this provider via phone number 5737691115 and fax number 5737691116. The mailing address for Shopko Stores Operating Co Llc is 502 E Ross St, Palmyra, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 502 E Ross St, Palmyra, Missouri
Phone Number 5737691115
Fax Number 5737691116
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXCUTIVE V
Authorized Official Name Bettiga Mike
Telephone Number 9204294297

NPI Number Detail

NPI Number 1598950214
Provider Enumeration Date 2007-09-06
Last Updated Date 2012-05-23

Provider Mailing Address Detail

Address 502 E Ross St
City Palmyra
State Missouri (MO)
Post Code 634611739
Phone Number 5737691115
Fax Number 5737691116

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2635223 NCPDP

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FAQs about Shopko Stores Operating Co Llc

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) 1598950214. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Shopko Stores Operating Co Llc's facilities are situated?

The facilities of Shopko Stores Operating Co Llc are physically located at the following address: 502 E Ross St, Palmyra, MO, 634611739.

What is Shopko Stores Operating Co Llc's area of expertise and its corresponding taxonomy classification?

The Shopko Stores Operating Co Llc's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1598950214 from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was issued its 1598950214 by the Centers for Medicare & Medicaid Services on 2007-09-06.

When was the information regarding Shopko Stores Operating Co Llc most recently updated?

The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last refreshed on 2012-05-23.

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