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MEDEXPRESS URGENT CARE INC. - HUNTINGTON NPI 1912160920


NPI Information

NPI: 1912160920
Provider Name: MEDEXPRESS URGENT CARE, INC. - HUNTINGTON
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 51D1089047

Address:
3120 US ROUTE 60
HUNTINGTON, WV
ZIP 25705
Phone: (304) 522-3627
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MEDEXPRESS URGENT CARE, INC. - HUNTINGTON is an urgent care clinic center in Huntington, WV. MEDEXPRESS URGENT CARE, INC. - HUNTINGTON NPI is 1912160920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3120 US ROUTE 60
HUNTINGTON, WV
ZIP 25705-739
Phone: (304) 522-3627
Fax: (304) 522-1234

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

The CLIA number assigned to this NPI record is 51D1089047 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 2/13/2012.


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 MedicineNo
2261QU0200XClinic/CenterUrgent CareYes

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
16269780001MEDICARE NSC
29379951MEDICARE PIN
301601OTHERWEST VIRGINIASTATE LICENSE
451D1089047OTHERWEST VIRGINIACLIA
53810013420MEDICAIDWEST 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: 4/28/2024

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.