CITY OF GENOA
NPI 1104859206
Clinic/Center - Primary Care in Genoa, NE

Active since July 09, 2006
505 S PARK ST, GENOA, NE 68640(402) 993-2206(402) 993-2595 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, Nov 10, 2017 (2 updates tracked since 2017).

About City Of Genoa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY OF GENOA (NPI 1104859206) is a healthcare organization registered as a primary care in Genoa, Nebraska and active in the NPI registry since July 2006. The organization lists Amanda Roebuck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104859206
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCITY OF GENOA
Location Address505 S PARK STGenoa, NE 68640-3036
Mailing Address505 S Park St, Po Box 310Genoa, NE 68640-3036 · (402) 993-2206 · Fax (402) 993-2595
Fax(402) 993-2595
Organization SubpartNo
Authorized OfficialAmanda RoebuckCeo · (402) 993-4583
Enumeration DateJuly 9, 2006
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
NPI 1104859206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
505 S PARK ST, Genoa, NE 68640

Other Identifiers 5

Other273722254NE · Blue Cross Blue Shield
Medicaid10025924300 NRHNE
OtherCS4410NE · Railroad Medicare
MedicaidNA RHNE
Other273722254NE · Commercial

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
505 S PARK ST
GENOA, NE 68640
Physician Assistant
505 S PARK ST, PARK STREET MEDICAL CLINIC
GENOA, NE 68640
Nurse Practitioner (Family)
505 S PARK ST
GENOA, NE 68640
Clinic/Center (Rural Health)
505 S PARK ST
GENOA, NE 68640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Genoa's NPI number?

The NPI number for City Of Genoa is 1104859206. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is City Of Genoa located?

City Of Genoa is located at 505 S Park St, Genoa, NE 68640. The listed phone number is (402) 993-2206.

What is City Of Genoa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does City Of Genoa accept?

Health plans from Medica list City Of Genoa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Of Genoa was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.