Shopko Stores Operating Co. Llc

ActiveOrganizationSpecialty not listed
NPI issued: May 16, 2006

Quick Facts

NPI Number
1619929015
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy332H00000X — Specialty not listed
Phone
(309) 694-6470
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1619929015)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 16, 2006)
Data source: CMS NPPES

Provider Overview

SHOPKO STORES OPERATING CO. LLC is a Healthcare provider based in East Peoria, IL who has been registered with CMS since 2006. They are affiliated with Shopko Optical 173. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1619929015
Provider TypeOrganization
StatusActive
Enumeration DateMay 16, 2006

Practice Location

CityEast Peoria
StateIL
ZIP Code61611-2543
Phone(309) 694-6470

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code332H00000X
License StateIL

Mailing Address

CityEast Peoria
StateIL
ZIP Code61611-2543
Phone(309) 694-6470
Same as practice location

Hospital & Organization Affiliations

🏢

Shopko Optical 173

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How to Use This NPI

📋

For Insurance Billing

Use NPI 1619929015 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1619929015for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1619929015 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
14,533
Specialty not listed Providers in the US

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Specialty not listed

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Clinical Social Worker

Lillian Merchant-sullivan, PHD LCPC

Mental Health Counselor

People Also Ask

What is Shopko Stores Operating Co. Llc's NPI number?
Shopko Stores Operating Co. Llc's NPI number is 1619929015, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Shopko Stores Operating Co. Llc's NPI currently active?
Yes, Shopko Stores Operating Co. Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Shopko Stores Operating Co. Llc specialize in?
Shopko Stores Operating Co. Llc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 332H00000X.
Where does Shopko Stores Operating Co. Llc practice?
Shopko Stores Operating Co. Llc practices in East Peoria, IL 61611-2543.
When was Shopko Stores Operating Co. Llc's NPI issued?
Shopko Stores Operating Co. Llc's NPI was issued on May 16, 2006.
What is Shopko Stores Operating Co. Llc's provider type?
Shopko Stores Operating Co. Llc is registered as an Organization under CMS NPI Type 2.