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GENOA HEALTHCARE LLC
NPI 1609338276
Pharmacy - Long Term Care Pharmacy in Medford, OR

Active since April 03, 2019
200 BEATTY STREET, ROOM 109, MEDFORD, OR 97501(541) 227-2128(541) 228-9987 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Nov 7, 2022, Nov 10, 2021 and 3 more (6 updates tracked since 2019).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1609338276) is a healthcare organization registered as a long term care pharmacy in Medford, Oregon and active in the NPI registry since April 2019. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1609338276
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address200 BEATTY STREET, ROOM 109Medford, OR 97501
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(541) 227-2128
Fax(541) 228-9987
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateApril 3, 2019
Last NPPES UpdateJanuary 24, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1609338276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
200 BEATTY STREET, Medford, OR 97501
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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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genoa Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20200924001552Non-DME Part B · PharmacyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

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

CAMILLE CANTY-FISCHER LCSW, CADC I
Social Worker (Clinical)
200 BEATTY STREET
MEDFORD, OR 97501
Jackson County (541) 414-0914
MS. MARA ELIZABETH BENSON QMHP
Counselor (Mental Health)
200 BEATTY STREET
MEDFORD, OR 97501
Jackson County (541) 476-2373
CHARLES HAMILTON BENSON SR. MFT
Marriage & Family Therapist
200 BEATTY STREET
MEDFORD, OR 97501
Jackson County (541) 414-0739

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 1609338276. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 200 Beatty Street Room 109, Medford, OR 97501. The listed phone number is (541) 227-2128.

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.

Is Genoa Healthcare LLC enrolled in Medicare?

Yes. Genoa Healthcare LLC is registered in the Medicare PECOS enrollment system.

When is Genoa Healthcare LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 Arkansas Health & Wellness and 46 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 January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.