GENOA HEALTHCARE, LLC
Medical Equipment Supplier Yellow Pages
Springfield, Oregon
Provider NPI: 1497713739
Organization Information:Organization Name: GENOA HEALTHCARE, LLC
Practice Location:
529 W CENTENNIAL BLVD SPRINGFIELD, OR 97477 US
Tel: 541-868-1682 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
529 W CENTENNIAL BLVD SPRINGFIELD, OR 97477 US
Tel: 541-868-1682 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336I0012X | Suppliers Pharmacy Institutional Pharmacy | OR | 002046 |
N | 333600000X | Suppliers Pharmacy | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 3336L0003X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 3814921 | 01 | |
005807 | OR | 05 | |
231819 | OR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin