Shopko Stores Operating Co Llc in Wautoma - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1811941586
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Wautoma, 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 1811941586. The last update date is 2012-09-04.
Shopko Stores Operating Co Llc's current location address is N2585 Plaza Rd, Wautoma, Wisconsin. You can contact this provider via phone number 9207872090 and fax number 9207874605. The mailing address for Shopko Stores Operating Co Llc is N2585 Plaza Rd, Wautoma, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | N2585 Plaza Rd, Wautoma, Wisconsin |
| Phone Number | 9207872090 |
| Fax Number | 9207874605 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1811941586 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | N2585 Plaza Rd |
|---|---|
| City | Wautoma |
| State | Wisconsin (WI) |
| Post Code | 549827706 |
| Phone Number | 9207872090 |
| Fax Number | 9207874605 |
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 |
|---|---|---|---|
| 459230035 | MEDICARE ID - TYPE UNSPECIFIED |
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) 1811941586. This 10-digit code 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: N2585 Plaza Rd, Wautoma, WI, 549827706.
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 Centers for Medicare & Medicaid Services assign the 1811941586 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1811941586 to Shopko Stores Operating Co Llc on 2006-05-19.
As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-04.