MEDEXPRESS URGENT CARE INC - WEST VIRGINIA NPI 1811338742

NPI Information

NPI: 1811338742
Provider Name: MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA

Doing Business As: MEDEXPRESS URGENT CARE - PATRICK STREET BRIDGE

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

Specialization: Urgent Care

CLIA Number: 51D2067233

Address:
1416 MACCORKLE AVE SW
CHARLESTON, WV
ZIP 25303
Phone: (304) 744-7517
Get Directions

MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA is an urgent care clinic center in Charleston, WV. MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA NPI is 1811338742. 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 - Patrick Street Bridge.

The provider's business location address is:

1416 MACCORKLE AVE SW
CHARLESTON, WV
ZIP 25303-324
Phone: (304) 744-7517
Fax: (304) 744-7525

The provider's authorized official is Tim 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 51D2067233 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2013 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 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	Other Provider Identifier Issuer
1	6276490023	MEDICARE NSC	WEST VIRGINIA
2	3910000008	MEDICAID	WEST VIRGINIA
3	9384131	MEDICARE PIN	WEST VIRGINIA
4	01612	OTHER	WEST VIRGINIA	STATE LICENSE

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »