Dejace Enterprises Inc

LBN: Dejace Enterprises Inc
Dejace Enterprises Inc is an health care organization with primary practice located at 106A Broadway St , Elsberry MO 63343-1233. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dejace Enterprises Inc can be contacted via phone (573) 898-2550, or through Osterkamp, Andrew via phone (573) 898-2550.

Contact Information

Primary practice address
106A Broadway St Elsberry MO 63343-1233
Phone: (573) 898-2550
Fax: (573) 898-5730
Website:
Map and Directions
Authorized official contact:
Name: Osterkamp, Andrew
Phone: (573) 898-2550

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 029059 Missouri
Suppliers / Pharmacy 333600000X 029059 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1861488660
LBN Legal business name Dejace Enterprises Inc
DBA Doing business as
Authorized official Osterkamp, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 14th, 2020 - about 6 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 1861488660 NPPES
Missouri MEDICAID 601684608
Missouri MEDICAID 62184604

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