340B Drug Pricing Program Database


GENOA HEALTHCARE LLC - information as of 5/19/2025 1:09:52 AM


GENOA HEALTHCARE LLC

1101 NORTH CENTRAL AVE
STE 102
PHOENIX, AZ 85004



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH031312-00Bisbee Hospital Association dba Copper Queen Community Hospital Critical Access Hospital101 Cole Ave
BisbeeAZ04/01/2022 4/1/2022 12:01 AM
DetailsCAH141324-00Ferrell Hospital Community Foundation dba Ferrell Hospital Critical Access Hospital1201 Pine Street
EldoradoIL01/01/2025 1/1/2025 12:01 AM
DetailsCH043920MANTACHIE RURAL HEALTH CARE INCMantachie Rural Health Care, Inc.HRSA-Funded Health Center5681 Highway 363
MantachieMS07/26/2022 7/26/2022 1:49 PM
DetailsCH04392BMANTACHIE RURAL HEALTH CARE INCMANTACHIE RURAL HEALTH CARE, INC. DENTALHRSA-Funded Health Center5500 Highway 363
MantachieMS10/01/2022 10/1/2022 12:01 AM
DetailsCH04392CMANTACHIE RURAL HEALTH CARE INCMantachie Rural Health Care Behavioral Health ClinicHRSA-Funded Health Center5510 Highway 363
MantachieMS10/01/2022 10/1/2022 12:01 AM
DetailsCH04392DMantachie Rural Health Care IncMantachie Rural Health Care, Inc. School Based ClinicHRSA-Funded Health Center311 Mustang Dr
MantachieMS10/01/2022 10/1/2022 12:01 AM
DetailsCH090030SUN LIFE FAMILY HEALTH CENTER, INC.Sun Life Health - Casa Grande Family Practice, Dental & OrthodonticsHRSA-Funded Health Center865 N Arizola Rd
Casa GrandeAZ01/19/2023 1/20/2023 12:16 PM
DetailsCH090080MARANA HEALTH CENTER, INC.Marana Health Center, Inc.HRSA-Funded Health Center13395 N. Marana Main Street
MARANAAZ01/01/2023 1/1/2023 12:01 AM
DetailsCH090130SUNSET COMMUNITY HEALTH CENTERSUNSET COMMUNITY HEALTH CENTER, INC.HRSA-Funded Health Center115 NORTH SOMERTON AVENUE
SOMERTONAZ12/20/2021 7/1/2024 2:53 PM
DetailsCH090160EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTEREL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTERHRSA-Funded Health Center839 WEST CONGRESS ST
TUCSONAZ12/20/2021 12/20/2021 3:52 PM
DetailsCH092890NORTH COUNTRY HEALTHCARE, INC.NORTH COUNTRY - FLAGSTAFF CLINICHRSA-Funded Health Center2920 N 4th St
FlagstaffAZ01/01/2024 1/1/2024 12:01 AM
DetailsCHC28956-00Valle Del Sol, Inc.Valle del Sol_3807HRSA-Funded Health Center3807 N 7th St
PhoenixAZ10/01/2022 10/1/2022 12:01 AM
DetailsCHC28973-00GENESIS HEALTHCARE, INCOlanta Family CareHRSA-Funded Health Center211 S Jones Rd
OlantaSC01/01/2025 1/1/2025 12:01 AM
DetailsCHC33644-00MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICTValleywise Health Administrative BuildingHRSA-Funded Health Center2601 E Roosevelt St
PhoenixAZ03/17/2022 3/17/2022 4:02 PM
DetailsDSH030013YUMA REGIONAL MEDICAL CENTER Disproportionate Share Hospital2400 S Avenue A
YumaAZ01/12/2022 1/13/2022 2:31 PM
DetailsDSH030014HONORHEALTH JOHN C. LINCOLN MED CTR Disproportionate Share Hospital250 E Dunlap Ave
PhoenixAZ04/25/202207/14/20227/15/2022 9:53 AM
DetailsDSH030016Banner Casa Grande Medical Center Disproportionate Share Hospital1800 East Florence Blvd.
Casa GrandeAZ04/01/2022 4/1/2022 12:01 AM
DetailsDSH030022MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT Disproportionate Share HospitalMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA VALLEYWISE HEALTH 2601 EAST ROOSEVELT STREET
PHOENIXAZ05/23/2022 5/23/2022 12:32 PM
DetailsDSH030064Banner - University Medical Center Tucson Disproportionate Share Hospital1625 North Campbell Avenue
TUCSONAZ01/24/202210/01/20231/24/2025 10:40 AM
DetailsDSH030065BANNER DESERT MEDICAL CENTER Disproportionate Share Hospital1400 SOUTH DOBSON ROAD
MESAAZ04/01/2022 4/1/2022 12:01 AM
DetailsDSH030089BANNER THUNDERBIRD MEDICAL CENTER Disproportionate Share Hospital5555 W. Thunderbird Road
GlendaleAZ07/01/202210/29/202410/29/2024 3:57 PM
DetailsDSH030111Banner – University Medical Center South Disproportionate Share Hospital2800 EAST AJO WAY
TUCSONAZ01/24/2022 1/25/2022 10:01 AM
DetailsDSH030115BANNER ESTRELLA MEDICAL CENTER Disproportionate Share Hospital9201 WEST THOMAS ROAD
PHOENIXAZ07/01/2022 7/1/2022 12:01 AM
DetailsDSH030122BANNER GATEWAY MEDICAL CENTER Disproportionate Share Hospital1900 NORTH HIGLEY ROAD
GILBERTAZ01/24/2022 1/27/2022 4:22 PM
DetailsDSH220011CAMBRIDGE PUBLIC HEALTH COMMISSION Disproportionate Share Hospital1493 Cambridge Street
CAMBRIDGEMA01/01/2025 1/1/2025 12:01 AM
DetailsDSH230230EDWARD W SPARROW HOSPITAL ASSOCIATION Disproportionate Share Hospital1215 E MICHIGAN AVE
LANSINGMI01/27/2022 1/27/2022 12:09 PM
DetailsDSH460009University of Utah Disproportionate Share Hospital50 North Medical Drive
Salt Lake CityUT07/25/202203/31/20234/14/2023 11:38 AM
DetailsRWIID23ARIZONA DEPARTMENT OF HEALTH SERVICESRyan White Part B/ADAPRyan White Part B ADAP Direct Purchase150 N. 18th Ave 280
PHOENIXAZ11/23/2021 11/23/2021 10:23 AM
DetailsSTD85004Prisma Community Care Sexually Transmitted Diseases1101 N Central Ave
Suite 200
PhoenixAZ07/01/2022 7/1/2022 12:01 AM
DetailsSTD85012Spectrum Medical Care Center Sexually Transmitted Diseases52 E Monterey Way
Suite A
PhoenixAZ12/15/2021 12/15/2021 10:23 AM
DetailsSTD850122Be Well Family CareBe Well HealthSexually Transmitted Diseases3402 N. CENTRAL AVE
PHOENIXAZ07/01/2024 7/1/2024 12:01 AM
DetailsSTD85013Your Health and Wellness PLLC Sexually Transmitted Diseases3326 N 3rd Avenue Suite 201
PhoenixAZ10/01/2023 10/1/2023 12:01 AM
DetailsSTD850131Your Health and Wellness PLLC Sexually Transmitted Diseases635 W Glenrosa Avenue Suite 104
PhoenixAZ10/01/2023 10/1/2023 12:01 AM
DetailsSTD85028RSG Healthcare Sexually Transmitted Diseases11209 N Tatum BLVD
STE 185
PhoenixAZ07/01/2024 7/1/2024 12:01 AM
DetailsSTD85282Be Well Family Care Sexually Transmitted Diseases1492 S. MILL AVE.
SUITE 212
TempeAZ10/17/2022 10/17/2022 3:42 PM
DetailsSTD85345Your Health and Wellness PLLC Sexually Transmitted Diseases8466 W Peoria Avenue Suite 9
PeoriaAZ07/01/202401/01/20251/1/2025 12:01 AM
DetailsTB850155ARIZONA DEPARTMENT OF HEALTH SERVICESBUREAU OF INFECTIOUS DISEASE SERVICESTuberculosis150 N. 18TH AVENUE
Suite 300
PHOENIXAZ10/01/2022 10/1/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate GENOA HEALTHCARE, LLC. 1101 NORTH CENTRAL AVE STE 102 PHOENIX, AZ 85004GENOA HEALTHCARE LLC 1101 NORTH CENTRAL AVE STE 102 PHOENIX, AZ 850049/20/2022 11:31 AM
DetailsNameUpdate GENOA HEALTHCARE, LLC.GENOA HEALTHCARE LLC9/20/2022 11:31 AM
DetailsCommentsInsert   11/1/2021 3:50 PM
DetailsIs DeletedInsert  False11/1/2021 3:50 PM
AddressesPharmacy AddressInsert  GENOA HEALTHCARE, LLC. 1101 NORTH CENTRAL AVE STE 102 PHOENIX, AZ 8500411/1/2021 3:50 PM
DetailsNameInsert  GENOA HEALTHCARE, LLC.11/1/2021 3:50 PM