Shopko Stores Operating Co Llc in Green Bay - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1831144070
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Green Bay, 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 1831144070. The last update date is 2014-05-22.
Shopko Stores Operating Co Llc's current location address is 2585 Lineville Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9206629450 and fax number 9206621912. The mailing address for Shopko Stores Operating Co Llc is 2585 Lineville Rd, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2585 Lineville Rd, Green Bay, Wisconsin |
| Phone Number | 9206629450 |
| Fax Number | 9206621912 |
| 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 | 1831144070 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 2585 Lineville Rd |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543137122 |
| Phone Number | 9206629450 |
| Fax Number | 9206621912 |
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 |
|---|---|---|---|
| 5128168 | NCPDP NUMBER | ||
| 33279000 | WI | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1831144070?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1831144070. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (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: 2585 Lineville Rd, Green Bay, WI, 543137122.
What is Shopko Stores Operating Co Llc's area of expertise and its corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.
When did Shopko Stores Operating Co Llc receive its 1831144070 assignment?
The Shopko Stores Operating Co Llc was assigned its 1831144070 on 2006-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-05-22.