Shopko Stores Operating Co Llc in Fond Du Lac - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1871549220
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Fond Du Lac, 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 1871549220. The last update date is 2013-12-27.
Shopko Stores Operating Co Llc's current location address is 616 W Johnson St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209215490 and fax number 9209217112. The mailing address for Shopko Stores Operating Co Llc is 616 W Johnson St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 616 W Johnson St, Fond Du Lac, Wisconsin |
| Phone Number | 9209215490 |
| Fax Number | 9209217112 |
| 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 | 1871549220 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2013-12-27 |
Provider Mailing Address Detail
| Address | 616 W Johnson St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353134 |
| Phone Number | 9209215490 |
| Fax Number | 9209217112 |
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 |
|---|---|---|---|
| 33049600 | WI | -- | |
| 5117278 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1871549220?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1871549220. This unique 10-digit identification number is assigned to health care providers 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 616 W Johnson St, Fond Du Lac, WI 549353134.
What is Shopko Stores Operating Co Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did Shopko Stores Operating Co Llc receive its 1871549220 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1871549220 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 2013-12-27.