Provider Type Icon

MEDEXPRESS INC - DELAWARE NPI 1194080218


NPI Information

NPI: 1194080218
Provider Name: MEDEXPRESS, INC - DELAWARE

Doing Business As: MEDEXPRESS - WILMINGTON KIRKWOOD HIGHWAY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 08D2046740

Address:
3926 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19808
Phone: (302) 998-2417
Get Directions

MEDEXPRESS, INC - DELAWARE is a family medicine in Wilmington, DE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDEXPRESS, INC - DELAWARE NPI is 1194080218. The provider is registered as an organization entity type.
The provider Is Doing Business As Medexpress - Wilmington Kirkwood Highway.

The provider's business location address is:

3926 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19808-110
Phone: (302) 998-2417
Fax: (302) 998-2485

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 CLIA number assigned to this NPI record is 08D2046740 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 9/7/2016.


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
1261QE0002XClinic/CenterEmergency CareNo
2207Q00000XFamily MedicineYes

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
11255692182MEDICAIDDELAWARE
26710500002MEDICARE NSCDELAWARE
3244283MEDICARE PINDELAWARE

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.