Shopko Stores Operating Co Llc in Madison - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1104872563
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Madison, 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 1104872563. The last update date is 2014-07-25.
Shopko Stores Operating Co Llc's current location address is 2201 Zeier Rd, Madison, Wisconsin. You can contact this provider via phone number 6082464233 and fax number 6082460136. The mailing address for Shopko Stores Operating Co Llc is 2201 Zeier Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2201 Zeier Rd, Madison, Wisconsin |
| Phone Number | 6082464233 |
| Fax Number | 6082460136 |
| 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 | 1104872563 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | 2201 Zeier Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537047415 |
| Phone Number | 6082464233 |
| Fax Number | 6082460136 |
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 |
|---|---|---|---|
| 5118903 | NCPDP | ||
| 33155100 | WI | -- |
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What is the Shopko Stores Operating Co Llc's unique identification number?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) Number 1104872563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 2201 Zeier Rd, Madison, WI 537047415.
What is Shopko Stores Operating Co Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shopko Stores Operating Co Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
When did Shopko Stores Operating Co Llc receive its 1104872563 assignment?
The Shopko Stores Operating Co Llc was assigned its 1104872563 on 2006-05-26, which is the date when this unique identifier was issued to the organization.
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 2014-07-25.
NPI Number: 1508862087
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