GENOA HEALTHCARE, LLC


Address: 529 W Centennial Blvd, Springfield, OR 97477-2804
Phone: 5418681682

GENOA HEALTHCARE, LLC (NPI# 1497713739) 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) 1497713739
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Other Organization Name GENOA HEALTHCARE
Practice Address 529 W Centennial Blvd
Springfield
OR 97477-2804
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 5418681682
Practice Fax Number 5418681683
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2006-05-03
Last Update Date 2012-04-25
Authorized Official Name RYAN NIEMEYER (CONTROLLER)
Authorized Official Telephone 2532180830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
002046 OR Suppliers
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 3814921 01
OR 005807 05
OR 231819 05

Other Provider/Organization Names

Other Name Type Code
Genoa Healthcare Doing Business As Name - Organization

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 529 W CENTENNIAL BLVD
City SPRINGFIELD
State OR
Zip Code 97477-2804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508416140 Chase Michael Collings Physician Assistant 960 N 16th St Ste 303, Springfield, OR 97477 2019-09-16
1174079396 Amie Flanagan Occupational Therapy Assistant 3152 Valentine Court, Springfield, OR 97477 2016-08-28
1609229590 Kiernan Davis Snedigar Counselor 175 W B St Ste J, Springfield, OR 97477 2016-07-15
1578914206 Ryan James Dixon Counselor 1923 Centennial Blvd, Springfield, OR 97477 2016-06-23
1902275464 Jovonnie Bashaw Counselor 1157 5th St, Springfield, OR 97477 2015-09-15
1053759506 Norco Inc Durable Medical Equipment & Medical Supplies 302 Shelley St Ste 7&8, Springfield, OR 97477 2013-06-06
1780931634 Justin Morris Pharmacist 1891 Pioneer Parkway East, Springfield, OR 97477 2012-08-09
1194083105 Mersedeh Bahr Hosseini Psychiatry & Neurology 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 2012-04-26
1962769679 Hiro Kawata Internal Medicine 3311 Rierbend Dr., Springfield, OR 97477 2012-04-19
1659662823 Wendy A Teigen Counselor 3995 Marcola Rd., Springfield, OR 97477 2011-04-22
Find all providers in zip 97477

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 city

NPI Name Taxonomy Address Enumeration
1326490376 Guardian Pharmacy of Missouri LLC Pharmacy 2107 E Rockhurst St Ste C, Springfield, MO 65802-6502 2016-07-01
1134218746 Thrifty Drug Stores Inc Pharmacy 18 S Marshall Ave, Springfield, MN 56087-1613 2006-10-12
1346351442 Managed Healthcare, LLC Pharmacy 1947 W Sunset St, Suite 200, Springfield, MO 65807-5903 2006-08-31
1013928654 Medicine Centre Ltc LLC Pharmacy 41 Sullivan St, Springfield, MA 01104 2006-08-10
1033197041 Christian Health Care Pharmacy LLC Pharmacy 1328 E Evergreen St, Springfield, MO 65803-4400 2006-01-09
1598759185 R & R Family Pharmacy LLC Pharmacy 909 Main St, Springfield, CO 81073-1646 2005-09-09
1184288326 Springfield Pharmacy LLC Pharmacy 2547 Main St, Springfield, MA 01107-1900 2019-04-23
1740754159 Springfield Pharmaceuticals LLC Pharmacy 1154 Baltimore Pike, Springfield, PA 19064-2850 2019-01-18
1164576906 Mcfarland Mental Health Center Pharmacy Pharmacy 901 Southwind Dr, Springfield, IL 62703-5125 2007-01-22
1710087085 Main Street Pharmacy, LLC Pharmacy 7440 Spring Village Dr, Springfield, VA 22150-4446 2006-09-25
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Competitor

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City SPRINGFIELD
Zip Code 97477

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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