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MAINLINE URGENT CARE MEDICAL GROUP P.C NPI 1275993495


NPI Information

NPI: 1275993495
Provider Name: MAINLINE URGENT CARE MEDICAL GROUP P.C

Doing Business As: EXPRESSCARE OF RED LION, LLC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
3193 CAPE HORN RD
RED LION, PA
ZIP 17356
Phone: (610) 482-4949
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MAINLINE URGENT CARE MEDICAL GROUP P.C is an urgent care clinic center in Red Lion, PA. MAINLINE URGENT CARE MEDICAL GROUP P.C NPI is 1275993495. The provider is registered as an organization entity type.
The provider Is Doing Business As Expresscare Of Red Lion, Llc.

The provider's business location address is:

3193 CAPE HORN RD
RED LION, PA
ZIP 17356-810
Phone: (610) 482-4949

The provider's authorized official is Maurice Nathaniel Reid .
The authorized official title is Ceo/md and has the following contact phone number (410) 420-6970.

The enumeration date for this NPI number is 3/1/2016 and was last updated on 1/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareMD442240PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1539809MEDICARE PINPENNSYLVANIA
2102867981-0002MEDICAIDPENNSYLVANIA
36693980005MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.