<Unavail>

LBN: Shopko Stores Operating Co Llc
<Unavail> is an health care organization with primary practice located at 2530 1St Ave N , Escanaba MI 49829-1390. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shopko Stores Operating Co Llc can be contacted via phone (906) 786-2011, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
2530 1St Ave N Escanaba MI 49829-1390
Phone: (906) 786-2011
Fax: (906) 786-2816
Website:
Map and Directions
Authorized official contact:
Name: Steinhorst, Russell
Phone: (920) 429-7489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008360 Michigan

Profile Details

NPI number 1396796892
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as <Unavail>
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Dec 14th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396796892 NPPES
Other 4819040 MI MEDICAID DME
Other 4913383 MI MEDICAID DME
MEDICAID 2341763 MI MEDICAID DME
Other 9000B11041 MI MEDICAID DME
Other 2341763 MI MEDICAID DME

Popular Providers