Letassy Health Services

LBN: Letassy Health Services
Letassy Health Services is an health care organization with primary practice located at 1002 W Pine St , Poplar Bluff MO 63901-4840. The organization recently has 3 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Suppliers / Nursing Facility Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Letassy Health Services can be contacted via phone (573) 785-0048, or through Letassy, David T via phone (573) 785-0048.

Contact Information

Primary practice address
1002 W Pine St Poplar Bluff MO 63901-4840
Phone: (573) 785-0048
Fax: (573) 785-0459
Website:
Map and Directions
Authorized official contact:
Name: Letassy, David T
Phone: (573) 785-0048

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 854887502 Missouri
Suppliers / Nursing Facility Supplies 332BN1400X 622577708 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X 004918 Missouri

Profile Details

NPI number 1780603969
LBN Legal business name Letassy Health Services
DBA Doing business as
Authorized official Letassy, David T
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 8th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780603969 NPPES
Missouri MEDICAID 602577702
Missouri MEDICAID 622577708
Missouri MEDICAID 854887502

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