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GENOA HEALTHCARE, LLC

Suppliers Durable Medical Equipment & Medical Supplies

Provider NPI: 1336561810

Organization Information:
Organization Name:  GENOA HEALTHCARE, LLC
Organization is not Subpart
Authorized Official:  SARAH  FENWICK  VP NETWORK CONTRACTING  612-200-1765

Practice Location:
1555 ELM ST SUITE A MANCHESTER, NH 03101-1203 US
Tel: 603-606-5920  Fax: 603-984-3001

Business Mailing Address:
PO BOX 77030  MINNEAPOLIS, MN 55480-7730 US
Tel: 253-218-0830  Fax: 253-217-4306

NPI Information:
NPI: 1336561810
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
N3336C0003XSuppliers
Pharmacy
Y3336L0003XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3336L0003X

Type:

Classification:



Definition:



MEDICAL JOBS NH - Page 1

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