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MEDEXPRESS URGENT CARE ARKANSAS P.A. NPI 1306216932


NPI Information

NPI: 1306216932
Provider Name: MEDEXPRESS URGENT CARE ARKANSAS, P.A.

Doing Business As: MEDEXPRESS URGENT CARE - NORTH LITTLE ROCK, JOHN F KENNEDY BLVD

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

Specialization: Urgent Care

CLIA Number: 04D2106274

Address:
5505 JOHN F KENNEDY BLVD
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 753-7931
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MEDEXPRESS URGENT CARE ARKANSAS, P.A. is an urgent care clinic center in North Little Rock, AR. MEDEXPRESS URGENT CARE ARKANSAS, P.A. NPI is 1306216932. 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 - North Little Rock, John F Kennedy Blvd.

The provider's business location address is:

5505 JOHN F KENNEDY BLVD
NORTH LITTLE ROCK, AR
ZIP 72116-707
Phone: (501) 753-7931
Fax: (501) 753-4709

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

The CLIA number assigned to this NPI record is 04D2106274 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 9/16/2016.


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 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
1351032MEDICARE PINARKANSAS
27153350014MEDICARE NSCARKANSAS

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.