MEDEXPRESS URGENT CARE ARKANSAS P.A. NPI 1922488014

NPI Information

MEDEXPRESS URGENT CARE ARKANSAS, P.A. is an urgent care clinic center in Mountain Home, AR. MEDEXPRESS URGENT CARE ARKANSAS, P.A. NPI is 1922488014. 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 - Mountain Home, Highway 62 E.

The provider's business location address is:

305 HIGHWAY 62 E
MOUNTAIN HOME, AR
ZIP 72653-655
Phone: (870) 425-0176
Fax: (870) 425-0196

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

The CLIA number assigned to this NPI record is 04D2102862 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 9/16/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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