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MEDEXPRESS URGENT CARE PC - MASSACHUSETTS NPI 1366820094


NPI Information

NPI: 1366820094
Provider Name: MEDEXPRESS URGENT CARE, PC - MASSACHUSETTS

Doing Business As: MEDEXPRESS URGENT CARE - CHICOPEE, MEMORIAL DR

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

Specialization: Urgent Care

CLIA Number: 22D2097044

Address:
1505 MEMORIAL DR
CHICOPEE, MA
ZIP 01020
Phone: (413) 533-3049
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MEDEXPRESS URGENT CARE, PC - MASSACHUSETTS is an urgent care clinic center in Chicopee, MA. MEDEXPRESS URGENT CARE, PC - MASSACHUSETTS NPI is 1366820094. 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 - Chicopee, Memorial Dr.

The provider's business location address is:

1505 MEMORIAL DR
CHICOPEE, MA
ZIP 01020-900
Phone: (413) 533-3049
Fax: (413) 533-1401

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 22D2097044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2015 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
1S100222571MEDICARE PINMASSACHUSETTS
2110103575BMEDICAIDMASSACHUSETTS
37373540001MEDICARE NSCMASSACHUSETTS

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.