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Genoa Healthcare LLC — NPI 1386202026, Ammon, ID | NPI Central

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NPI 1386202026

OrganizationActive

Genoa Healthcare LLC

NPI 1386202026 · Long Term Care Pharmacy · Ammon, ID

Provider details

NPI number: 1386202026
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Karen Bohmer, Secretary(224) 231-1833

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Pharmacy333600000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

2705 E 17th St Ste S5

Ammon, ID 83406-6601

Phone: (208) 932-1670

Fax: (208) 523-7678

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2019-05-29
Last updated: 2024-01-10
Certified: 2024-01-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.