Genoa Healthcare

LBN: Genoa Healthcare, Llc
Genoa Healthcare is an health care organization with primary practice located at 529 W Centennial Blvd , Springfield OR 97477-2804. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Institutional 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 (541) 868-1682, or through Niemeyer, Ryan via phone (253) 218-0830.

Contact Information

Primary practice address
529 W Centennial Blvd Springfield OR 97477-2804
Phone: (541) 868-1682
Fax: (541) 868-1683
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 / Institutional Pharmacy 3336I0012X 002046 Oregon
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1497713739
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 13 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 1497713739 NPPES
Other 3814921 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 005807 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 231819 NCPDP PROVIDER IDENTIFICATION NUMBER

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