Shopko Stores Operating Co Llc in Oshkosh - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1962458315
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Oshkosh, 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 1962458315. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 1300 S Koeller St, Oshkosh, Wisconsin. You can contact this provider via phone number 9204265770 and fax number 9204261708. The mailing address for Shopko Stores Operating Co Llc is 1300 S Koeller St, Oshkosh, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1300 S Koeller St, Oshkosh, Wisconsin |
| Phone Number | 9204265770 |
| Fax Number | 9204261708 |
| 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 | 1962458315 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 1300 S Koeller St |
|---|---|
| City | Oshkosh |
| State | Wisconsin (WI) |
| Post Code | 549026169 |
| Phone Number | 9204265770 |
| Fax Number | 9204261708 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5116923 | NCPDP NUMBER | ||
| 33045600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1962458315, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: 1300 S Koeller St, Oshkosh, WI, 549026169.
What is Shopko Stores Operating Co Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1962458315 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1962458315 by the Centers for Medicare & Medicaid Services on 2006-05-26.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-06.