GENOA HEALTHCARE, LLC


Address: 1890 Waite St Ste 1, North Bend, OR 97459-1229
Phone: 2532180830

GENOA HEALTHCARE, LLC (NPI# 1013517390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013517390
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Practice Address 1890 Waite St Ste 1
North Bend
OR 97459-1229
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 2532180830
Practice Fax Number 2532174306
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Authorized Official Name WILLIAM ROBERT GUPTAIL (COO)
Authorized Official Telephone 6516890258
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972103257 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 2020-10-27
1477153757 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 299 W Railroad Ave Ste P, Crestview, FL 32536-4053 2020-10-27
1033719323 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 2020-10-27
1326648601 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 225 Carlton Davidson Ln Rm 1, Coal Grove, OH 45638-2924 2020-10-27
1912507211 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 2020-10-27
1760080238 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 2020-10-15
1174121982 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 807 Lawn Ave Ste 104, Sellersville, PA 18960-1549 2020-10-14
1457959272 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 281 Laclair St Rm 135, Coos Bay, OR 97420-2988 2020-10-14
1811595622 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 2020-10-14
1245844000 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 2020-08-31

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names GENOA HEALTHCARE, LLC 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188
Washington State Corporations GENOA HEALTHCARE, LLC 18300 Cascade Ave S # 251, Tukwila, WA 98188
Massachusetts Corporations GENOA HEALTHCARE, LLC 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188
Ohio Business Entities GENOA HEALTHCARE, LLC 510 East Main Street, Auburn, WA 98002

Office Location

Street Address 1890 WAITE ST STE 1
City NORTH BEND
State OR
Zip Code 97459-1229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538341490 Rhonda Knight Registered Nurse 1890 Waite St Ste 1, North Bend, OR 97459-1229 2007-12-03
1003445032 Waterfall Clinic, Incorporated Clinic/Center 1890 Waite St Ste 1, North Bend, OR 97459-1229 2020-04-02
1437654779 Waterfall Clinic, Incorporated Community/Behavioral Health 1890 Waite St Ste 1, North Bend, OR 97459-1229 2018-03-28
1720582315 Amy Hinshaw Nurse Practitioner 1890 Waite St Ste 1, North Bend, OR 97459-1229 2018-03-20
1851892509 Waterfall Clinic Incorporated Counselor 1890 Waite St Ste 1, North Bend, OR 97459-1229 2018-02-27
1346633476 Waterfall Community Pharmacy Pharmacy 1890 Waite St Ste 1, North Bend, OR 97459-1229 2015-03-13
1255627253 Debra Sue Guzman Nurse Practitioner 1890 Waite St Ste 1, North Bend, OR 97459-1229 2011-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568002749 Ya-chi Claire Chang Nurse Practitioner 1229 1890 Waite St #1, North Bend, OR 97459 2020-01-15
1629573977 Heather M Coates Counselor 400 Virginia Ave Ste 100, North Bend, OR 97459 2018-03-28
1205257219 Melissa Sperry Health Educator 510 Lockhart Street, North Bend, OR 97459 2013-12-17
1265862627 Elizabeth Sylvester Counselor 1592 Monroe Street, North Bend, OR 97459 2013-11-22
1124370291 Brian Noble Thompson Pharmacist 3411 Broadway St., North Bend, OR 97459 2012-10-12
1295081230 Walgreen Co Durable Medical Equipment & Medical Supplies 3411 Broadway St, North Bend, OR 97459 2012-07-27
1366728370 Melissa Jean Kovach Occupational Therapy Assistant 3959 Sheridan Ave., North Bend, OR 97459 2011-10-24
1295045052 Mary Kay Weikel Massage Therapist 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 2010-10-14
1902080013 Anthony Eugene Baldacci Registered Nurse 1836 Meade Street, North Bend, OR 97459 2007-12-26
1952595340 Inland Point Senior Estates Jv LLC Clinic/Center 2265 Inland Drive, North Bend, OR 97459 2007-08-29
Find all providers in zip 97459

Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023440864 Olson Pharmacy Services Pharmacy 617 Monroe St, Oregon City, OR 97045-2336 2013-08-03
1861773798 Grants Pass Pharmacy, Inc. Pharmacy 414 Sw 6th St., Grants Pass, OR 97526-2810 2011-09-06
1003051558 Howard's Pharmacy Inc. Pharmacy 101 N F St, Lakeview, OR 97630-1529 2008-12-12
1558448225 Pill Box Drugs Inc Pharmacy 635 N Arrowleaf Trl, Sisters, OR 97759 2006-11-01
1881776722 Quisenberry Pharmacies Inc. Pharmacy 150 Liberty St Se, Salem, OR 97301-3506 2006-10-19
1093808198 Pill Box Drugs Inc Pharmacy 906 Nw Kings Blvd, Corvallis, OR 97330 2006-10-02
1871690719 Pill Box Drugs Inc Pharmacy 910 Nw Kings Blvd, Corvallis, OR 97330-2505 2006-09-20
1952405664 Dept. of Human Srvcs/office of Fin. Srvcs Dba Irs/eopc/eotc/osh/osh-p Pharmacy 2600 Westgate, Pendleton, OR 97801-9604 2006-09-12
1780795765 Evergreen Pharmaceutical, LLC Pharmacy 259 E Barnett Rd Ste L, Medford, OR 97501-7953 2006-08-31
1235240391 Evergreen Pharmaceutical, LLC Pharmacy 11933 Ne Glenn Widing Dr, Portland, OR 97220-9099 2006-08-31
Find all providers with the same taxonomy

Competitor

Search similar providers

City NORTH BEND
Zip Code 97459

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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