Shopko Stores Operating Co Llc in Delavan - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1568418911
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Delavan, 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 1568418911. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 1450 E Geneva St, Delavan, Wisconsin. You can contact this provider via phone number 2627280062 and fax number 2627280055. The mailing address for Shopko Stores Operating Co Llc is 1450 E Geneva St, Delavan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1450 E Geneva St, Delavan, Wisconsin |
| Phone Number | 2627280062 |
| Fax Number | 2627280055 |
| 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 | 1568418911 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 1450 E Geneva St |
|---|---|
| City | Delavan |
| State | Wisconsin (WI) |
| Post Code | 531152025 |
| Phone Number | 2627280062 |
| Fax Number | 2627280055 |
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 |
|---|---|---|---|
| 33203400 | WI | -- | |
| 5122231 | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit 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) 1568418911, which 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 1450 E Geneva St, Delavan, WI 531152025.
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 Shopko Stores Operating Co Llc receive its 1568418911 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1568418911 on 2006-05-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2014-06-06.
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