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MEDEXPRESS URGENT CARE INC. - WEST VIRGINIA NPI 1689954109


NPI Information

NPI: 1689954109
Provider Name: MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - MARTINSBURG

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

Specialization: Urgent Care

Address:
1355 EDWIN MILLER BOULEVARD
SUITE A
MARTINSBURG, WV
ZIP 25404
Phone: (304) 263-6753
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MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA is an urgent care clinic center in Martinsburg, WV. MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA NPI is 1689954109. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Martinsburg.

The provider's business location address is:

1355 EDWIN MILLER BOULEVARD
SUITE A
MARTINSBURG, WV
ZIP 25404
Phone: (304) 263-6753
Fax: (304) 263-8278

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 enumeration date for this NPI number is 8/29/2011 and was last updated on 9/21/2016.


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 Medicine01612WEST VIRGINIANo
2261QU0200XClinic/CenterUrgent Care01612WEST VIRGINIAYes

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
101612OTHERWEST VIRGINIASTATE LICENSE
26276490006MEDICARE NSCWEST VIRGINIA
39384131MEDICARE PINWEST VIRGINIA
43810021543MEDICAIDWEST 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: 11/14/2023

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.