Shopko Stores Operating Co Llc in Omaha - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1538110986
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Omaha, Nebraska. 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 1538110986. The last update date is 2014-03-13.
Shopko Stores Operating Co Llc's current location address is 5646 N 90th St, Omaha, Nebraska. You can contact this provider via phone number 4025721662 and fax number 4025720878. The mailing address for Shopko Stores Operating Co Llc is 5646 N 90th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 5646 N 90th St, Omaha, Nebraska |
| Phone Number | 4025721662 |
| Fax Number | 4025720878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1538110986 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2014-03-13 |
Provider Mailing Address Detail
| Address | 5646 N 90th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681341808 |
| Phone Number | 4025721662 |
| Fax Number | 4025720878 |
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 |
|---|---|---|---|
| 10025414000 | NE | -- | |
| 2812370 | NCPDP NUMBER | ||
| 41098505410 | NE | -- |
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What is the unique identification code assigned to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1538110986. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 5646 N 90Th St, Omaha, NE 681341808.
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 was the 1538110986 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1538110986 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-03-13.
NPI Number: 1215930425
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