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Contact Information

GENOA HEALTHCARE LLC
6 E 1ST AVE
SPOKANE, WA99202-1503
 Phone: 509-624-3017
 Fax: 509-624-4330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GENOA HEALTHCARE LLC

NPI # 1487717898
LBN Legal business name GENOA HEALTHCARE LLC
Authorized official KAREN BOHMER - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 05/21/2024 - 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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