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NPI Code Detail

MEDICARE: HY-VEE INC

MEDICARE: HY-VEE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1050IA
23336C0003XCommunity/Retail Pharmacy1050IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31619189OTHERIANCPDP

General Provider Information

NPI Number : 1063448587
Entity Type Code : Organization
Provider Name (Legal Business Name) : HY-VEE INC
Provider Business Mailing Address
First Line : PO BOX 850442
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55485-0442
Country : US
Telephone Number : 515-267-2800
Fax Number : 515-559-2593
Provider Business Practice Location Address
First Line : 3301 GORDON DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51105-3708
Country : US
Telephone Number : 712-234-1949
Fax Number : 712-255-8087
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : ANGIE NELSON
Credential :
Telephone Number : 515-267-2800
Provider Enumeration Date : 06/25/2006
Last Update Date : 04/25/2023

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Directions to “HY-VEE INC ” Practice Location

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