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GENOA HEALTHCARE LLC
NPI 1346549755
Pharmacy - Long Term Care Pharmacy in Douglas, AZ

Active since March 24, 2011
1701 N DOUGLAS AVE, DOUGLAS, AZ 85607(520) 368-3059(520) 364-1270 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2024, Mar 15, 2023, Nov 8, 2022 and 3 more (6 updates tracked since 2016).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1346549755) is a healthcare organization registered as a long term care pharmacy in Douglas, Arizona and active in the NPI registry since March 2011. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1346549755
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address1701 N DOUGLAS AVEDouglas, AZ 85607-1019
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(520) 368-3059
Fax(520) 364-1270
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateMarch 24, 2011
Last NPPES UpdateDecember 26, 20246 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1346549755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

1701 N DOUGLAS AVE, Douglas, AZ 85607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

OYERONKE O AJIBOYE-LALA NP
Nurse Practitioner (Psychiatric/Mental Health)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Public Health or Welfare
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
MRS. BETTY LYNN SPERING LISAC, MS
Counselor (Addiction (Substance Use Disorder))
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
NATIVIDAD CANO AGS, LISAC
Counselor (Addiction (Substance Use Disorder))
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
MR. CARLOS G QUIJADA SR. MS, LPC
Counselor (Professional)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133
MS. COLLEEN KAY MATTSON MA, LPC
Counselor (Professional)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
OLGA BALVINA RIVERO RN
Registered Nurse
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133
MS. GUADALUPE G TAPIA LCSW
Social Worker (Clinical)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133

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 Genoa Healthcare LLC's NPI number?

The NPI number for Genoa Healthcare LLC is 1346549755. It was assigned to this organization in the NPPES registry on March 24, 2011.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 1701 N Douglas Ave, Douglas, AZ 85607. The listed phone number is (520) 368-3059.

What is Genoa Healthcare LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Genoa Healthcare LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Genoa Healthcare LLC 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 Genoa Healthcare LLC was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.