GENOA HEALTHCARE LLC; NPI #1336644871

Contact Information

GENOA HEALTHCARE LLC

58646 MCNULTY WAY STE 116
SAINT HELENS, OR 97051

Phone: 503-438-4543
Fax: 503-946-3056
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for GENOA HEALTHCARE LLC

NPI #	`1336644871`
LBN Legal business name	GENOA HEALTHCARE LLC
Authorized official	KAREN BOHMER - (SECRETARY)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/27/2018
Last updated	01/29/2024 - About 2 years ago
Identifiers	n/a

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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