OrganizationActive
Genoa Healthcare LLC
NPI 1215445085 · Managed Care Organization Pharmacy · Golden Valley, MN
Provider details
- NPI number
- 1215445085
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Parent organization
- Genoa Healthcare LLC
- Authorized official
- Karen Bohmer, Secretary
Practice location
8441 Wayzata Blvd, Suite 340
Golden Valley, MN 55426-1372
Phone: (952) 746-8185
Fax: (952) 746-8187
Mailing address
Po Box 77030
Minneapolis, MN 55480-7730
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2023-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.