Genoa Healthcare

LBN: Genoa Healthcare, Llc
Genoa Healthcare is an health care organization with primary practice located at 325 E Pioneer Ave Suite B-124, Puyallup WA 98372-3265. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Genoa Healthcare, Llc can be contacted via phone (253) 770-7000, or through Niemeyer, Ryan via phone (253) 218-0830.

Contact Information

Primary practice address
325 E Pioneer Ave Suite B-124 Puyallup WA 98372-3265
Phone: (253) 770-7000
Fax: (253) 770-7018
Website:
Map and Directions
Authorized official contact:
Name: Niemeyer, Ryan
Phone: (253) 218-0830

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X CF57740 Washington

Profile Details

NPI number 1396703559
LBN Legal business name Genoa Healthcare, Llc
DBA Doing business as Genoa Healthcare
Authorized official Niemeyer, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Apr 25th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396703559 NPPES
Washington MEDICAID 6027031
Washington Other 4930601

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