Organization Active NPI

Lets Inc

  • Urgent Care Clinic/Center
  • Jackson, OH
National Provider Identifier
1043940323
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Tomlin, FNP-BCNPI 1629565395
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000015MedicaidOH

Other names 1

  • Jackson Express Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101003264 OH Part B Supplier - Clinic/Group Practice 4183091341 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.