MEDEXPRESS URGENT CARE PC - TENNESSEE NPI 1689931446

NPI Information

NPI: 1689931446
Provider Name: MEDEXPRESS URGENT CARE, PC - TENNESSEE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
2686 W STATE ST
BRISTOL, TN
ZIP 37620
Phone: (423) 844-0026
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MEDEXPRESS URGENT CARE, PC - TENNESSEE is an urgent care clinic center in Bristol, TN. MEDEXPRESS URGENT CARE, PC - TENNESSEE NPI is 1689931446. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2686 W STATE ST
BRISTOL, TN
ZIP 37620-817
Phone: (423) 844-0026
Fax: (423) 844-0028

The provider's authorized official is Tim Bugin .
The authorized official title is Vp Of Payor Contracting and has the following contact phone number (304) 225-2500.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 6/20/2013.

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
1	207P00000X	Emergency Medicine				No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	1527953	MEDICAID	TENNESSEE
2	6715900001	MEDICARE NSC	TENNESSEE
3	1689931446	MEDICAID	VIRGINIA
4	103G709092	MEDICARE PIN	TENNESSEE

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

NPI Synchronization or Removal

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