Shopko Stores Operating Co Llc in Manitowoc - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1982659157
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Manitowoc, 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 1982659157. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 3415 Calumet Ave, Manitowoc, Wisconsin. You can contact this provider via phone number 9206840251 and fax number 9206847706. The mailing address for Shopko Stores Operating Co Llc is 3415 Calumet Ave, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 3415 Calumet Ave, Manitowoc, Wisconsin |
| Phone Number | 9206840251 |
| Fax Number | 9206847706 |
| 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 | 1982659157 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 3415 Calumet Ave |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542205427 |
| Phone Number | 9206840251 |
| Fax Number | 9206847706 |
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 |
|---|---|---|---|
| 5112874 | NCPDP NUMBER | ||
| 33001100 | WI | -- |
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) 1982659157. This 10-digit code 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 3415 Calumet Ave, Manitowoc, WI 542205427.
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 issue the 1982659157 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1982659157 assignment from the Centers for Medicare & Medicaid Services on 2006-05-24.
When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?
The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-06.