NPI:
1528592417
Provider Name:
MEDEXPRESS URGENT CARE CONNECTICUT, P.C.
Doing Business As: MEDEXPRESS URGENT CARE - DERBY, DIVISION ST
Classification:
Clinic/Center - 261QU0200X
Entity Type:
Organization
Specialization: Urgent Care
CLIA Number: 07D2131523
Address:
68 DIVISION ST
DERBY, CT
ZIP 06418
Phone:
(203) 732-6802
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MEDEXPRESS URGENT CARE CONNECTICUT, P.C. is an urgent care clinic center in Derby, CT. MEDEXPRESS URGENT CARE CONNECTICUT, P.C. NPI is 1528592417. 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 - Derby, Division St.
The provider's business location address is:
68 DIVISION ST
DERBY, CT
ZIP 06418-447
Phone: (203) 732-6802
Fax: (203) 732-6792
The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.
The CLIA number assigned to this NPI record is 07D2131523 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/18/2017 and was last updated on 4/18/2017.