- Practice location
- 841 Riverside Dr Ste P, Augusta, ME 04330-8302
- Phone
- 207-707-9123
- Fax
- 207-800-4977
- Last updated
- April 12, 2024
Genoa Healthcare LLC is a healthcare organization based in Augusta, ME. Genoa Healthcare LLC practices in Augusta, ME. The NPI Number for Genoa Healthcare LLC is 1619550662. The current practice location address for Genoa Healthcare LLC is 841 Riverside Dr Ste P, Augusta, ME 04330-8302 and can be reached out via phone at 207-707-9123 and via fax at 207-800-4977.
Provider Profile Details
- NPI Number
- 1619550662
- Provider Name
- Genoa Healthcare LLC
- Provider Entity Type
- Organization
- Address
- 841 Riverside Dr Ste P, Augusta, ME 04330-8302
- Phone Number
- 207-707-9123
- Fax Number
- 207-800-4977
- Primary Taxonomy
- Pharmacy, Long Term Care Pharmacy · 3336L0003X
- Organization Subpart
- No
- Authorized Official
- Karen Bohmer · Secretary · 224-231-1833
- Provider Enumeration Date
- April 28, 2021
- Last Update Date
- April 12, 2024
- Certification Date
- April 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 841 Riverside Dr Ste P
Augusta, ME 04330-8302 - City
- Augusta
- State
- Maine
- Zip
- 04330-8302
- Phone Number
- 207-707-9123
- Fax Number
- 207-800-4977
Provider Business Mailing Address Details
- Address
- 707 S Grady Way Ste 400
Renton, WA 98057-3246 - City
- Renton
- State
- WA
- Zip
- 98057-3246
- Phone Number
- 253-218-0830
- Fax Number
- 253-217-4306
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Taxonomy (4)
- Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Genoa Healthcare LLC?
The NPI number of Genoa Healthcare LLC is 1619550662. It was assigned on April 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Genoa Healthcare LLC?
Genoa Healthcare LLC is registered under the primary taxonomy Pharmacy, Long Term Care Pharmacy (code 3336L0003X).
Where does Genoa Healthcare LLC practice?
The practice location is 841 Riverside Dr Ste P, Augusta, ME 04330-8302. The office can be reached at 207-707-9123 (phone) or 207-800-4977 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619550662 directly on the NPPES registry website.