LETS INC NPI 1043940323

NPI Information

NPI: 1043940323
Provider Name: LETS INC

Doing Business As: JACKSON EXPRESS CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
731 E MAIN ST
JACKSON, OH
ZIP 45640
Phone: (740) 577-3527
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LETS INC is an urgent care clinic center in Jackson, OH. LETS INC NPI is 1043940323. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Express Care.

The provider's business location address is:

731 E MAIN ST
JACKSON, OH
ZIP 45640-100
Phone: (740) 577-3527

The provider's authorized official is Samuel Tomlin .
The authorized official title is Aprn/owner and has the following contact phone number (740) 577-3527.

The CLIA number assigned to this NPI record is 36D2261425 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2022 and was last updated on 4/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000015	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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