Shopko Stores Operating Co Llc in Ashland - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1144274812
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Ashland, Wisconsin. 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 1144274812. The last update date is 2012-09-04.
Shopko Stores Operating Co Llc's current location address is 1800 Lake Shore Dr E, Ashland, Wisconsin. You can contact this provider via phone number 7156828306 and fax number 7156824004. The mailing address for Shopko Stores Operating Co Llc is 1800 Lake Shore Dr E, Ashland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1800 Lake Shore Dr E, Ashland, Wisconsin |
| Phone Number | 7156828306 |
| Fax Number | 7156824004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1144274812 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | 1800 Lake Shore Dr E |
|---|---|
| City | Ashland |
| State | Wisconsin (WI) |
| Post Code | 548062268 |
| Phone Number | 7156828306 |
| Fax Number | 7156824004 |
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 |
|---|---|---|---|
| 459230072 | MEDICARE ID - TYPE UNSPECIFIED |
Post Comment/ Review Below
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) 1144274812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 1800 Lake Shore Dr E, Ashland, WI 548062268.
What is Shopko Stores Operating Co Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy code that categorizes this field of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144274812 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1144274812 to Shopko Stores Operating Co Llc on 2006-05-19.
As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-04.