OrganizationActive
Genoa Healthcare, LLC
NPI 1497713739 · Long Term Care Pharmacy · Springfield, OR
Provider details
- NPI number
- 1497713739
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ryan Niemeyer, Controller(253) 218-0830
- License
- 002046 (OR)
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
529 W Centennial Blvd
Springfield, OR 97477-2804
Phone: (541) 868-1682
Fax: (541) 868-1683
Street-level locationGet directions
Mailing address
Po Box 77030
Minneapolis, MN 55480-7730
Other names (DBA / former)
- Doing business as
- Genoa Healthcare
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.