Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies Store in Saint Cloud, Minnesota. It is situated at 4161 2nd St S, Saint Cloud and its contact number is 320-253-3280. The authorized person of Shopko Stores Operating Co Llc is Mr. Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Other organizations associated with this store are Shopko Stores Operating Co. Llc, Shopko Stores Operating Co Llc, Primary license number for Shopko Stores Operating Co Llc is 2627960 (Community/Retail Pharmacy) in Minnesota. Shopko Stores Operating Co Llc is 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.
Complete Center Profile:
Shopko Stores Operating Co Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Durable Medical Equipment & Medical Supplies
Address:
4161 2nd St S, Saint Cloud, Minnesota, 56301-3761
Phone:
320-253-3280
Fax:
320-253-5790
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Michael J Bettiga
Position:
Sr. Vice President Health Services
Contact Number:
920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shopko Stores Operating Co Llc center are as mentioned below.
NPI Number:
1609829464
NPI Enumeration Date:
19 May, 2006
NPI Last Update On:
22 May, 2014
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Shopko Stores Operating Co. Llc
Eyewear Supplier (equipment, Not The Service)
1174575500
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1609829464
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Stores Operating Co Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2627960
Minnesota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
606234200
Medicaid
Minnesota
625857300
Medicaid
Minnesota
0154160058
Medicaid
Minnesota
2414249
Other
Ncpdp Number
578612000
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shopko Stores Operating Co Llc 4161 2nd St S, Saint Cloud, Minnesota
Zip:
56301-3761
Phone Number:
320-253-3280
Fax Number:
320-253-5790
Patients can reach Shopko Stores Operating Co Llc at 4161 2nd St S, Saint Cloud, Minnesota or can call to book an appointment on 320-253-3280. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.
Comments/ Reviews:
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