Shopko Stores Operating Co Llc in Union Gap - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1053350090
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Union Gap, Washington. 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 1053350090. The last update date is 2008-08-14.
Shopko Stores Operating Co Llc's current location address is 2530 Rudkin Rd, Union Gap, Washington. You can contact this provider via phone number 5092489567 and fax number 5094530079. The mailing address for Shopko Stores Operating Co Llc is 2530 Rudkin Rd, Union Gap, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2530 Rudkin Rd, Union Gap, Washington |
| Phone Number | 5092489567 |
| Fax Number | 5094530079 |
| 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 | 1053350090 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 2530 Rudkin Rd |
|---|---|
| City | Union Gap |
| State | Washington (WA) |
| Post Code | 989031632 |
| Phone Number | 5092489567 |
| Fax Number | 5094530079 |
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 |
|---|---|---|---|
| 6004576 | WA | -- | |
| 1011 | WA LABOR & INDUSTRY | ||
| 215815 | WA LABOR & INDUSTRY | ||
| 4918465 | NCPDP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1053350090 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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: 2530 Rudkin Rd, Union Gap, WA, 989031632.
What is Shopko Stores Operating Co Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shopko Stores Operating Co Llc's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053350090 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1053350090 to Shopko Stores Operating Co Llc on 2006-06-05.
When was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-14.