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

Shopko Stores Operating Co Llc - NPI 1396797403

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Archbold, Ohio. 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 1396797403. The last update date is 2012-10-22.

Shopko Stores Operating Co Llc's current location address is 2015 S Defiance St, Archbold, Ohio. You can contact this provider via phone number 4194450052 and fax number 4194450053. The mailing address for Shopko Stores Operating Co Llc is 2015 S Defiance St, Archbold, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 2015 S Defiance St, Archbold, Ohio
Phone Number 4194450052
Fax Number 4194450053
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1396797403
Provider Enumeration Date 2006-05-17
Last Updated Date 2012-10-22

Provider Mailing Address Detail

Address 2015 S Defiance St
City Archbold
State Ohio (OH)
Post Code 435029111
Phone Number 4194450052
Fax Number 4194450053

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
3668069 NCPDP NUMBER
2183551 OH --

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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) 1396797403. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Shopko Stores Operating Co Llc is located?

The Shopko Stores Operating Co Llc is situated at the following address: 2015 S Defiance St, Archbold, OH, 435029111.

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

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

When was the Shopko Stores Operating Co Llc's 1396797403 issued?

The Shopko Stores Operating Co Llc's 1396797403 was issued on 2006-05-17.

When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?

The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-22.

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