Organization
GENOA HEALTHCARE OF TENNESSEE, LLC
Active
Organization
GENOA HEALTHCARE OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE JASON (CONTRACTS ADMINISTRATOR)
(253) 218-0862
Entity
Organization
Contact information
Practice address
120 OMNI DR, MC MINNVILLE, TN 37110-1331
(931) 473-1066
(931) 473-1068
Mailing address
510 E MAIN ST, AUBURN, WA 98002-5502
(253) 218-0830
(253) 218-0835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4338
TN
333600000X
Pharmacy
4338
TN
3336L0003X
Long Term Care Pharmacy
Primary
4338
TN
Other
Enumeration date
08/27/2007
Last updated
09/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up