Genoa Healthcare, Llc

LBN: Genoa Healthcare, Llc
Genoa Healthcare, Llc is an health care organization with primary practice located at 1210 Sw 136Th St Rm 101 , Burien WA 98166-1214. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail 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 (206) 242-4446, or through Hennessy, Natasha via phone (612) 722-4249.

Contact Information

Primary practice address
1210 Sw 136Th St Rm 101 Burien WA 98166-1214
Fax: (206) 242-4154
Website:
Authorized official contact:
Name: Hennessy, Natasha

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X CF58869 Washington
Suppliers / Pharmacy 333600000X CF00058869 Washington
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X CF00058869 Washington

Profile Details

NPI number 1598810277
LBN Legal business name Genoa Healthcare, Llc
DBA Doing business as
Authorized official Hennessy, Natasha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 7th, 2023 - about last year

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 1598810277 NPPES
Washington Other PHAR.CF.60544118 BOP LICENSE
Washington Other 4932249 BOP LICENSE
Washington MEDICAID 6030456 BOP LICENSE

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