NPI 1003869678 SHOPKO STORES OPERATING CO. LLC LEWISTON ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Shopko Stores Operating Co. Llc - NPI: 1003869678

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SHOPKO STORES OPERATING CO. LLC
NPI Number: 1003869678
Entity Type Code: Organizational (2)
Authorized Official Name: MICHAEL J BETTIGA
(SR. VICE PRESIDENT HEALTH SERVICES)
Mailing Address: 2120 Thain Grade
Lewiston
State: ID US
Postal Code: 835014105
Phone Number: 2087461050
Fax Number:
NPI Enumeration Date: 05/18/2006
NPI Last Update Date: 08/03/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 156FX1800X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Eye and Vision Services Providers
Taxonomy Classification: Technician/Technologist
Taxonomy Specialization: Optician
Taxonomy Definition:


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