Jsa Healthcare Corporation
LBN: Optumcare Florida, Llc
Jsa Healthcare Corporation is an health care organization with primary practice located at 4757 Us Highway 19 , New Port Richey FL 34652-4945. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Optumcare Florida, Llc can be contacted via phone (727) 849-9373, or through Liethen, John G. via phone (952) 205-6262.
Contact Information
Primary practice address
4757 Us Highway 19
New Port Richey FL 34652-4945
Phone: (727) 849-9373
Fax: (727) 841-0497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH18603 | Florida |
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1063572295 |
|---|---|
| LBN Legal business name | Optumcare Florida, Llc |
| DBA Doing business as | Jsa Healthcare Corporation |
| Authorized official | Liethen, John G. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Aug 19th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063572295 | NPPES |
| Florida | MEDICAID | 030843900 | |
| Florida | MEDICAID | 4399230001 | |
| Florida | Other | 2014572 |
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