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MEDEXPRESS URGENT CARE INC - WEST VIRGINIA NPI 1194276873


NPI Information

NPI: 1194276873
Provider Name: MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - ELKINS, RANDOLPH AVE

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

Specialization: Urgent Care

CLIA Number: 51D1086359

Address:
613 RANDOLPH AVENUE
ELKINS, WV
ZIP 26241
Phone: (304) 636-8422
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MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA is an urgent care clinic center in Elkins, WV. MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA NPI is 1194276873. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Elkins, Randolph Ave.

The provider's business location address is:

613 RANDOLPH AVENUE
ELKINS, WV
ZIP 26241-950
Phone: (304) 636-8422
Fax: (304) 636-8058

The provider's authorized official is Joy Kimball .
The authorized official title is Contract Manager and has the following contact phone number (763) 349-6740.

The CLIA number assigned to this NPI record is 51D1086359 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 4/9/2024.


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
101612OTHERWEST VIRGINIASTATE LICENSE
21194276873MEDICAIDWEST 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.