Shopko Stores Operating Co Llc in Kimberly - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1083660435
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Kimberly, 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 1083660435. The last update date is 2014-05-22.
Shopko Stores Operating Co Llc's current location address is 800 E Maes Ave, Kimberly, Wisconsin. You can contact this provider via phone number 9207889154 and fax number 9207883255. The mailing address for Shopko Stores Operating Co Llc is 800 E Maes Ave, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 800 E Maes Ave, Kimberly, Wisconsin |
Phone Number | 9207889154 |
Fax Number | 9207883255 |
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 | 1083660435 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
Address | 800 E Maes Ave |
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City | Kimberly |
State | Wisconsin (WI) |
Post Code | 541361527 |
Phone Number | 9207889154 |
Fax Number | 9207883255 |
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 |
---|---|---|---|
5114549 | NCPDP NUMBER | ||
33017200 | WI | -- |
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) 1083660435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shopko Stores Operating Co Llc's facilities are situated?
The facilities of Shopko Stores Operating Co Llc are physically located at the following address: 800 E Maes Ave, Kimberly, WI, 541361527.
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 issue the 1083660435 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1083660435 assignment from the Centers for Medicare & Medicaid Services on 2006-05-26.
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.