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MEDEXPRESS URGENT CARE INC - WEST VIRGINIA NPI 1588103626


NPI Information

NPI: 1588103626
Provider Name: MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - SUMMERSVILLE, WEBSTER RD

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

Specialization: Urgent Care

CLIA Number: 51D2127788

Address:
5870 WEBSTER RD
SUITE 101
SUMMERSVILLE, WV
ZIP 26651
Phone: (304) 872-3709
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MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA is an urgent care clinic center in Summersville, WV. MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA NPI is 1588103626. 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 - Summersville, Webster Rd.

The provider's business location address is:

5870 WEBSTER RD
SUITE 101
SUMMERSVILLE, WV
ZIP 26651-105
Phone: (304) 872-3709
Fax: (304) 872-9860

The provider's authorized official is Joy Kimball .
The authorized official title is Contract Manager and has the following contact phone number (763) 349-6740.

The CLIA number assigned to this NPI record is 51D2127788 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 4/9/2024.


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
101612OTHERWEST VIRGINIASTATE LICENSE
21588103626MEDICAIDWEST VIRGINIA

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.