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MEDEXPRESS URGENT CARE PC - MICHIGAN NPI 1336548734


NPI Information

NPI: 1336548734
Provider Name: MEDEXPRESS URGENT CARE, PC - MICHIGAN

Doing Business As: MEDEXPRESS URGENT CARE - JACKSON, N WEST AVE

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

Specialization: Urgent Care

Address:
1325 N WEST AVE
JACKSON, MI
ZIP 49202
Phone: (517) 768-0384
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MEDEXPRESS URGENT CARE, PC - MICHIGAN is an urgent care clinic center in Jackson, MI. MEDEXPRESS URGENT CARE, PC - MICHIGAN NPI is 1336548734. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Jackson, N West Ave.

The provider's business location address is:

1325 N WEST AVE
JACKSON, MI
ZIP 49202-050
Phone: (517) 768-0384
Fax: (517) 768-0386

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 enumeration date for this NPI number is 8/21/2014 and was last updated on 9/14/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17112160004MEDICARE NSCMICHIGAN
21649694407MEDICAIDMICHIGAN
3MI7535MEDICARE PINMICHIGAN

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: 5/5/2024

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.