Genoa Healthcare, Llc
LBN: Genoa Healthcare, Llc
Genoa Healthcare, Llc is an health care organization with primary practice located at 526 W State St , Rockford IL 61101-1214. 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 (815) 962-8192, or through Hennessy, Natasha via phone (612) 722-4249.
Contact Information
Primary practice address
526 W State St
Rockford IL 61101-1214
Phone: (815) 962-8192
Fax: (815) 962-5703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 58013565 | Illinois |
Profile Details
| NPI number | 1851496160 |
|---|---|
| LBN Legal business name | Genoa Healthcare, Llc |
| DBA Doing business as | |
| Authorized official | Hennessy, Natasha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Apr 27th, 2021 - about 3 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 | 1851496160 | NPPES |
| Other | 1480057 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 743152173002 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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