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MEDEXPRESS URGENT CARE INC. - WEST VIRGINIA NPI 1316227838


NPI Information

NPI: 1316227838
Provider Name: MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - BRIDGEPORT JERRY DOVE DRIVE

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

Specialization: Urgent Care

Address:
120 MEDICAL PARK DRIVE
SUITE 100
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-3278
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MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA is an urgent care clinic center in Bridgeport, WV. MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA NPI is 1316227838. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Bridgeport Jerry Dove Drive.

The provider's business location address is:

120 MEDICAL PARK DRIVE
SUITE 100
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-3278
Fax: (304) 842-6716

The provider's authorized official is Timothy G Bugin .
The authorized official title is Vp Of Payor Contracting and has the following contact phone number (304) 225-2500.

The enumeration date for this NPI number is 8/29/2011 and was last updated on 9/21/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine01612WEST VIRGINIANo
2261QU0200XClinic/CenterUrgent Care01612WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16276490013MEDICARE NSCWEST VIRGINIA
201612OTHERWEST VIRGINIASTATE LICENSE
39384131MEDICARE PINWEST VIRGINIA
43810021540MEDICAIDWEST VIRGINIA

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: 11/14/2023

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.