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Contact Information

GENOA HEALTHCARE, LLC
1547 OHIO AVE
ANDERSON, IN46016-1917
 Phone: 765-203-2126
 Fax: 765-649-2640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GENOA HEALTHCARE, LLC

NPI Number 1255625612
LBN Legal business name GENOA HEALTHCARE, LLC
Authorized official NATASHA HENNESSY - (CHIEF PHARMACY OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2011
Last updated 04/26/2021 - About 5 years ago
Identifiers
IN License # 60006256A
Other 2130524 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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