Active NPI
Lets Inc
- Urgent Care Clinic/Center
- Jackson, OH
National Provider Identifier
1043940323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LETS INC
- Practice address
- 731 E Main St
Jackson, OH 45640-2100 - Phone
- (740) 577-3527
- NPI assigned
- Jun 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Tomlin, FNP-BC
- Title
- Aprn/Owner
- Phone
- (740) 577-3527
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
731 E Main St
Jackson, OH 45640-2100
Mailing address
731 E Main St Ste 4
Jackson, OH 45640-2100
Phone (740) 577-3527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000015 | Medicaid | OH |
Other names 1
- Jackson Express Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
731 E Main St
Jackson, OH 45640
Phone (740) 286-5554
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Portsmouth, OH
- NPI 1629565395
-
- Family Nurse Practitioner
- Chillicothe, OH
- NPI 1104635366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1043940323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E MAIN ST STE 4",
"city": "JACKSON",
"state": "OH",
"postal_code": "456402100",
"telephone_number": "740-577-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E MAIN ST",
"city": "JACKSON",
"state": "OH",
"postal_code": "456402100",
"telephone_number": "740-577-3527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-10",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "TOMLIN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "APRN/OWNER",
"authorized_official_telephone_number": "740-577-3527",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000015",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jackson Express Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jackson Express Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.