DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GENOA HEALTHCARE LLC

MEDICARE: GENOA HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1508272816
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENOA HEALTHCARE LLC
Provider Business Mailing Address
First Line : 707 S GRADY WAY STE 400
Second Line :
City : RENTON
State : WA
Zip : 98057-3246
Country : US
Telephone Number : 253-218-0830
Fax Number : 253-217-4306
Provider Business Practice Location Address
First Line : 905 NEBRASKA AVE
Second Line : STE Q
City : TOLEDO
State : OH
Zip : 43607-4222
Country : US
Telephone Number : 567-694-8570
Fax Number : 419-259-1238
Authorized Official
Title or Position : SECRETARY
Name : KAREN BOHMER
Credential :
Telephone Number : 224-231-1833
Provider Enumeration Date : 07/08/2014
Last Update Date : 12/17/2024

Similar Medicare Providers

1457284044 — LEXUS SULLIVAN
Practice Location Address:
905 NEBRASKA AVE
TOLEDO, OH
43607-4222
Practice Phone: 419-841-7701
Practice Fax:
1093324394 — ADAM WILBURN FNP
Practice Location Address:
905 NEBRASKA AVE
TOLEDO, OH
43607-4222
Practice Phone: 419-841-7701
Practice Fax: 866-474-4057
1164679320 — MS. KENYATTA D KING RN
Practice Location Address:
905 NEBRASKA AVE
TOLEDO, OH
43607-4222
Practice Phone: 419-841-7701
Practice Fax:
1053665372 — HEATHER POLASKI APRN-CNP
Practice Location Address:
905 NEBRASKA AVE
TOLEDO, OH
43607-4222
Practice Phone: 419-841-7701
Practice Fax: 419-255-4037
1760815344 — MISS KELSEY ANNE GRUENHAGEN LSW
Practice Location Address:
905 NEBRASKA AVE
TOLEDO, OH
43607-4222
Practice Phone: 419-841-7701
Practice Fax: 419-841-1691
1750764718 — GREGORY DURHAM NP-C
Practice Location Address:
905 NEBRASKA AVE
TOLEDO, OH
43607-4222
Practice Phone: 419-841-7701
Practice Fax:

Directions to “GENOA HEALTHCARE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.