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MEDEXPRESS URGENT CARE PC - INDIANA NPI 1831430404


NPI Information

NPI: 1831430404
Provider Name: MEDEXPRESS URGENT CARE PC - INDIANA

Doing Business As: MEDEXPRESS URGENT CARE - MARION

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

Specialization: Urgent Care

Address:
1130 N BALDWIN AVE
MARION, IN
ZIP 46952
Phone: (765) 662-1188
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MEDEXPRESS URGENT CARE PC - INDIANA is an urgent care clinic center in Marion, IN. MEDEXPRESS URGENT CARE PC - INDIANA NPI is 1831430404. 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 - Marion.

The provider's business location address is:

1130 N BALDWIN AVE
MARION, IN
ZIP 46952-536
Phone: (765) 662-1188
Fax: (765) 662-1259

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 3/7/2013 and was last updated on 9/8/2016.


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
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
1201134900EMEDICAIDINDIANA
26766510003MEDICARE NSCINDIANA
3IN1289MEDICARE PININDIANA

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
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