CITY OF GENOA (NPI# 1982979894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982979894 |
| Entity Type | Organization |
| Organization Name | CITY OF GENOA |
| Other Organization Name | GENOA HOSPICE |
| Practice Address |
706 Ewing St Genoa NE 68640-3035 |
| Mailing Address |
Po Box 310 Genoa NE 68640-0310 |
| Practice Telephone | 4029932283 |
| Practice Fax Number | 4029932373 |
| Mailing Telephone | 4029932283 |
| Mailing Fax Number | 4029932373 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Authorized Official Name | AMANDA ROEBUCK (HOSPICE ADMINISTRATOR) |
| Authorized Official Telephone | 4029932283 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | HOSPICE 48 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Genoa Hospice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710275060 | City of Genoa | Nursing Facility/Intermediate Care Facility | 706 Ewing Avenue, Genoa, NE 68640-3035 | 2011-07-20 |
| 1649228511 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2006-05-04 |
| 1487621561 | City of Genoa | Ambulance | 516 Willard Ave, Genoa, NE 68640-3039 | 2006-03-07 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| 1720505522 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2017-08-23 |
| 1417395955 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2013-06-06 |
| 1356638175 | City of Genoa | Assisted Living Facility | 706 Ewing St, Genoa, NE 68640-3035 | 2011-06-30 |
| 1104859206 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2006-07-09 |
| Street Address |
706 EWING ST |
| City | GENOA |
| State | NE |
| Zip Code | 68640-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649228511 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2006-05-04 |
| 1730795659 | Paige Julianne Pauley | Physician Assistant | 706 Ewing St, Genoa, NE 68640-3035 | 2020-09-16 |
| 1710548292 | Jordan Sue Chohon | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2019-06-25 |
| 1720579220 | Kimberly Ann Pfeifer | Dietitian, Registered | 706 Ewing St, Genoa, NE 68640-3035 | 2018-05-21 |
| 1386150522 | Katelyn Elizabeth Palkovic | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2017-12-26 |
| 1326457730 | Kala Preister | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2014-08-11 |
| 1417395955 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2013-06-06 |
| 1356638175 | City of Genoa | Assisted Living Facility | 706 Ewing St, Genoa, NE 68640-3035 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790086999 | Park Street Medical Clinic PC | Family Medicine | 505 South Park Street, Genoa, NE 68640 | 2010-11-04 |
| 1679071724 | Elisa Jean Zeiss | Physician Assistant | Po Box 310, Genoa, NE 68640-0310 | 2018-01-23 |
| 1710275060 | City of Genoa | Nursing Facility/Intermediate Care Facility | 706 Ewing Avenue, Genoa, NE 68640-3035 | 2011-07-20 |
| 1336127950 | Steve D Watton | Physician Assistant | 505 S Park St, Park Street Medical Clinic, Genoa, NE 68640-3036 | 2006-01-04 |
| 1578172045 | Lauren Esch | Family Medicine | 505 S Park St, Genoa, NE 68640-3036 | 2020-07-30 |
| 1720505522 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2017-08-23 |
| 1386077535 | Jennifer Lynn Swantek | Nurse Practitioner | 505 S Park St, Genoa, NE 68640-3036 | 2013-08-12 |
| 1053671883 | Vicki D Peterson Truksa | Nurse Practitioner | 505 S Park St, Genoa, NE 68640-3036 | 2012-05-27 |
| 1104859206 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2006-07-09 |
| 1386940856 | Hoffmeister Homes Inc | Assisted Living Facility | 324 N Pine St, Genoa, NE 68640-3037 | 2011-02-01 |
| Find all providers in zip 68640 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
Please comment or provide details below to improve the information on CITY OF GENOA.
| 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.