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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy
43336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1689293367
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 : 1515 E OSBORN RD STE P1
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5309
Country : US
Telephone Number : 623-432-1975
Fax Number : 623-337-9259
Authorized Official
Title or Position : SECRETARY
Name : KAREN BOHMER
Credential :
Telephone Number : 224-231-1833
Provider Enumeration Date : 04/13/2020
Last Update Date : 08/14/2024

Similar Medicare Providers

1902304801 — PATRICIA ISELA HERRERA FNP
Practice Location Address:
1515 E OSBORN RD
PHOENIX, AZ
85014-5309
Practice Phone: 602-604-0000
Practice Fax: 602-604-5863
1346620358 — COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.
Practice Location Address:
1515 E OSBORN RD
PHOENIX, AZ
85014-5309
Practice Phone: 602-604-0000
Practice Fax: 602-604-5863
1457800302 — JUNIPER DERY-CHAFFIN PA-C
Practice Location Address:
1515 E OSBORN RD
PHOENIX, AZ
85014-5309
Practice Phone: 602-604-0000
Practice Fax:
1790275428 — SEDONA LAUREN MANN
Practice Location Address:
1515 E OSBORN RD STE P1
PHOENIX, AZ
85014-5309
Practice Phone: 623-432-1975
Practice Fax:
1790247229 — RACHEL C TORRY LCSW
Practice Location Address:
1515 E OSBORN RD
PHOENIX, AZ
85014-5309
Practice Phone: 602-604-0000
Practice Fax: 602-604-5863
1700547353 — MR. SCOTT GILMAN PMHNP
Practice Location Address:
1515 E OSBORN RD
PHOENIX, AZ
85014-5309
Practice Phone: 602-604-0000
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.