Shopko Stores Operating Co Llc in Minneapolis - Durable Medical Equipment & Medical Supplies

Shopko Stores Operating Co Llc - NPI 1619155512

Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Minneapolis, Minnesota. 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 1619155512. The last update date is 2012-11-08.

Shopko Stores Operating Co Llc's current location address is Po Box 1450, Minneapolis, Minnesota. You can contact this provider via phone number 6202853546 and fax number 6202853898. The mailing address for Shopko Stores Operating Co Llc is Po Box 1450, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address Po Box 1450, Minneapolis, Minnesota
Phone Number 6202853546
Fax Number 6202853898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bettiga Michael
Credentials RPH
Telephone Number 9204294297

NPI Number Detail

NPI Number 1619155512
Provider Enumeration Date 2008-02-04
Last Updated Date 2012-11-08

Provider Mailing Address Detail

Address Po Box 1450
City Minneapolis
State Minnesota (MN)
Post Code 554851450
Phone Number 6202853546
Fax Number 6202853898

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
200389320M KS --
200389320N KS KS DME

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FAQs about Shopko Stores Operating Co Llc

What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1619155512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

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: Po Box 1450, Minneapolis, MN, 554851450.

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 did the Centers for Medicare & Medicaid Services originally issue the 1619155512 to Shopko Stores Operating Co Llc?

The Centers for Medicare & Medicaid Services originally issued the 1619155512 to Shopko Stores Operating Co Llc on 2008-02-04.

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 2012-11-08.

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