Shopko Stores Operating Co. Llc

LBN: Shopko Stores Operating Co. Llc
Shopko Stores Operating Co. Llc is an health care organization with primary practice located at 3044 S 84Th St Ste 1 , Omaha NE 68124-3208. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Shopko Stores Operating Co. Llc can be contacted via phone (402) 391-1143, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
3044 S 84Th St Ste 1 Omaha NE 68124-3208
Phone: (402) 391-1143
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Steinhorst, Russell
Phone: (920) 429-7489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1649222878
LBN Legal business name Shopko Stores Operating Co. Llc
DBA Doing business as
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Oct 10th, 2017 - about 7 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 1649222878 NPPES
Other 35504 AVESIS
Other 17884 AVESIS
Other 260474 AVESIS
MEDICAID 41098505418 AVESIS
Other 007124 AVESIS
Other 014044 AVESIS
Other 35860 AVESIS
Other CP2230-31 AVESIS

Popular Providers