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Organization
GENOA HEALTHCARE LLC
Active
Organization
GENOA HEALTHCARE LLC
Active
Parent organization
GENOA HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENOA HEALTHCARE, LLC
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization
Contact information
Practice address
2277 W FRONTAGE RD STE P, AUSTIN, IN 47102-8828
(812) 284-6418
(812) 962-9360
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3201
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
10/04/2006
Last updated
07/29/2026
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