SHOPKO STORES OPERATING CO LLC; NPI #1114100518

Contact Information

SHOPKO STORES OPERATING CO LLC

W3208 VAN ROY RD
APPLETON, WI 54915

Phone: 920-111-1111
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

Edit contact information

NPI Profile & details for SHOPKO STORES OPERATING CO LLC

NPI Number 1114100518

LBN Legal business name SHOPKO STORES OPERATING CO LLC

Authorized official MICHAEL BETTIGA - (SR. VICE PRESIDENT HEALTH SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/10/2007

Last updated 07/17/2008 - About 18 years ago

Identifiers

WI	Medicaid	38461200
	Other	1114100518	ANTHEM BCBS WI
	Other	59715	DAVIS
	Other	300133	EYEMED
	Other	60677	SPECTERA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for SHOPKO STORES OPERATING CO LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for SHOPKO STORES OPERATING CO LLC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Suppliers

COSTCO WHOLESALE CORPORATION
5401 W. INTEGRITY WAY
GRAND CHUTE, WI

BEL-REGIONAL HOME MEDICAL INC
964 W RYAN ST
BRILLION, WI

WAL-MART STORE EAST LP
810 SOUTH IRISH ROAD
CHILTON, WI

SHOPTIKAL LLC
723 MAIN AVE
DE PERE, WI

OPHTHALMIC SURGERY OF WI LTD
509 S WASHBURN ST
OSHKOSH, WI

SHOPTIKAL LLC
1212 S KOELLER ST
OSHKOSH, WI

DYCORA TRANSITIONAL HEALTH - ABBOTSFORD LLC
600 E ELM ST
ABBOTSFORD, WI

SCHOOL DISTRICT OF ABBOTSFORD
307 N 4TH ST
ABBOTSFORD, WI

FIRST CITY DENTAL OF ABBOTSFORD, SC
202 BIRCH ST
ABBOTSFORD, WI

CAILEN ANDREWS
509 UNIVERSITY DR
, EAU CLAIRE, WI

View all Suppliers