Shopko Stores Operating Co Llc in Provo - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1437100518
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Provo, Utah. 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 1437100518. The last update date is 2014-05-22.
Shopko Stores Operating Co Llc's current location address is 2266 N University Pkwy, Provo, Utah. You can contact this provider via phone number 8013752000 and fax number 8013737179. The mailing address for Shopko Stores Operating Co Llc is 2266 N University Pkwy, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2266 N University Pkwy, Provo, Utah |
| Phone Number | 8013752000 |
| Fax Number | 8013737179 |
| 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 | 1437100518 |
|---|---|
| Provider Enumeration Date | 2006-05-13 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 2266 N University Pkwy |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846041510 |
| Phone Number | 8013752000 |
| Fax Number | 8013737179 |
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 |
|---|---|---|---|
| 410985054067 | UT | -- | |
| 4606729 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1437100518?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1437100518. This unique 10-digit identification number is assigned to health care providers 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: 2266 N University Pkwy, Provo, UT, 846041510.
What is the Shopko Stores Operating Co Llc's area of specialization and corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1437100518 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1437100518 assignment from the Centers for Medicare & Medicaid Services on 2006-05-13.
When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?
The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-05-22.