Shopko Stores Operating Co Llc in Green Bay - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1982659140
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 1982659140. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 216 S Military Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204990895 and fax number 9204943410. The mailing address for Shopko Stores Operating Co Llc is 216 S Military Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 216 S Military Ave, Green Bay, Wisconsin |
Phone Number | 9204990895 |
Fax Number | 9204943410 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. VICE P |
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Authorized Official Name | Bettiga J Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1982659140 |
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Provider Enumeration Date | 2006-05-24 |
Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
Address | 216 S Military Ave |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543032498 |
Phone Number | 9204990895 |
Fax Number | 9204943410 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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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 |
---|---|---|---|
33136200 | WI | -- | |
5103508 | NCPDP NUMBER |
Post Comment/ Review Below
What is the unique 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) 1982659140. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 216 S Military Ave, in the city of Green Bay, state of WI, with the zip code 543032498.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982659140 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1982659140 to Shopko Stores Operating Co Llc on 2006-05-24.
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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