Provider Type Icon

MEDEXPRESS URGENT CARE PC - VIRGINIA NPI 1497020747


NPI Information

NPI: 1497020747
Provider Name: MEDEXPRESS URGENT CARE, PC - VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - CHARLOTTESVILLE SEMINOLE SQUARE

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

Specialization: Urgent Care

CLIA Number: 49D2040727

Address:
1149 SEMINOLE TRL
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 978-3998
Get Directions

MEDEXPRESS URGENT CARE, PC - VIRGINIA is an urgent care clinic center in Charlottesville, VA. MEDEXPRESS URGENT CARE, PC - VIRGINIA NPI is 1497020747. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Charlottesville Seminole Square.

The provider's business location address is:

1149 SEMINOLE TRL
CHARLOTTESVILLE, VA
ZIP 22901-897
Phone: (434) 978-3998
Fax: (434) 973-5335

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 49D2040727 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2012 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
1207P00000XEmergency MedicineVIRGINIANo
2261QU0200XClinic/CenterUrgent CareVIRGINIAYes

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
11215219878MEDICAIDVIRGINIA
26676680006MEDICARE NSCVIRGINIA
3A489MEDICARE PINVIRGINIA

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.