GENOA HEALTHCARE LLC; NPI #1710205570

Contact Information

GENOA HEALTHCARE LLC

6655 E US HIGHWAY 36
AVON, IN 46123-8923

Phone: 317-272-4804
Fax: 317-272-4809
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
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for GENOA HEALTHCARE LLC

NPI Number	`1710205570`
LBN Legal business name	GENOA HEALTHCARE LLC
Authorized official	KAREN BOHMER - (SECRETARY)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/04/2010
Last updated	12/24/2024 - More than a year 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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