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

Shopko Stores Operating Co Llc - NPI 1093769861

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Lewistown, Montana. 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 1093769861. The last update date is 2012-11-20.

Shopko Stores Operating Co Llc's current location address is 825 Ne Main St, Lewistown, Montana. You can contact this provider via phone number 4065389262 and fax number 4065389795. The mailing address for Shopko Stores Operating Co Llc is 825 Ne Main St, Lewistown, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 825 Ne Main St, Lewistown, Montana
Phone Number 4065389262
Fax Number 4065389795
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1093769861
Provider Enumeration Date 2006-05-19
Last Updated Date 2012-11-20

Provider Mailing Address Detail

Address 825 Ne Main St
City Lewistown
State Montana (MT)
Post Code 594572080
Phone Number 4065389262
Fax Number 4065389795

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
1093769861 MT --
2763426 NCPDP

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FAQs about Shopko Stores Operating Co Llc

What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1093769861 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

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 825 Ne Main St, in the city of Lewistown, state of MT, with the postal code 594572080.

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

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

On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1093769861 from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was issued its 1093769861 by the Centers for Medicare & Medicaid Services on 2006-05-19.

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 2012-11-20.

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