EXPRESS URGENT CARE NPI 1063617967

NPI Information

  • NPI: 1063617967
  • Provider Name: EXPRESS URGENT CARE
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 130 MARVIN RD SE STE 112
    LACEY, WA
    ZIP 98503
  • Phone: (360) 923-1111

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NPI Details

EXPRESS URGENT CARE is a point of service in Lacey, WA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. EXPRESS URGENT CARE NPI is 1063617967. The provider is registered as an organization entity type.

The provider's business location address is:

130 MARVIN RD SE STE 112
LACEY, WA
ZIP 98503-101
Phone: (360) 923-1111
Fax: (360) 455-8677

The provider's authorized official is Eric Daniel Thomas .
The authorized official title is Physician and has the following contact phone number (360) 923-1111.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 6/30/2008.

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
1305S00000XPoint of ServiceOP00001758WASHINGTONYes

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
1G8806633MEDICARE PINWASHINGTON
2H48337MEDICARE UPINWASHINGTON

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: 11/21/2025

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