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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396703559 | NPPES |
| Washington | MEDICAID | 6027031 | |
| Washington | Other | 4930601 |
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