Shopko Stores Operating Co Llc in Marinette - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1477509826
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Marinette, 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 1477509826. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 2741 Roosevelt Rd, Marinette, Wisconsin. You can contact this provider via phone number 7157350325 and fax number 7157350111. The mailing address for Shopko Stores Operating Co Llc is 2741 Roosevelt Rd, Marinette, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2741 Roosevelt Rd, Marinette, Wisconsin |
| Phone Number | 7157350325 |
| Fax Number | 7157350111 |
| 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 | 1477509826 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 2741 Roosevelt Rd |
|---|---|
| City | Marinette |
| State | Wisconsin (WI) |
| Post Code | 541433833 |
| Phone Number | 7157350325 |
| Fax Number | 7157350111 |
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 |
|---|---|---|---|
| 33171000 | WI | -- | |
| 4913409 | MI | -- | |
| 2653481 | MI | -- | |
| 5120148 | NCPDP NUMBER | ||
| 5120148 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1477509826 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shopko Stores Operating Co Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co Llc are physically situated at the following location: 2741 Roosevelt Rd, Marinette, WI, 541433833.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy code that classifies this field of practice is 332B00000X.
On what date was the 1477509826 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1477509826 on 2006-05-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2014-06-06.