Shopko Stores Operating Co Llc in Racine - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1174579528
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Racine, 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 1174579528. The last update date is 2013-08-27.
Shopko Stores Operating Co Llc's current location address is 4801 Washington Ave, Racine, Wisconsin. You can contact this provider via phone number 2626378444 and fax number 2626370752. The mailing address for Shopko Stores Operating Co Llc is 4801 Washington Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 4801 Washington Ave, Racine, Wisconsin |
| Phone Number | 2626378444 |
| Fax Number | 2626370752 |
| 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 | 1174579528 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
| Address | 4801 Washington Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534064219 |
| Phone Number | 2626378444 |
| Fax Number | 2626370752 |
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 |
|---|---|---|---|
| 5114563 | NCPDP NUMBER | ||
| 33017300 | 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) 1174579528, which 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 4801 Washington Ave, Racine, WI 534064219.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did the Shopko Stores Operating Co Llc receive its 1174579528 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1174579528 by the Centers for Medicare & Medicaid Services on 2006-05-26.
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 2013-08-27.
NPI Number: 1063415297
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