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MEDEXPRESS URGENT CARE PLLC - BECKLEY NPI 1346411600


NPI Information

NPI: 1346411600
Provider Name: MEDEXPRESS URGENT CARE, PLLC - BECKLEY
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 51D1083386

Address:
1709 HARPER ROAD
BECKLEY, WV
ZIP 25801
Phone: (304) 256-3027
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MEDEXPRESS URGENT CARE, PLLC - BECKLEY is an urgent care clinic center in Beckley, WV. MEDEXPRESS URGENT CARE, PLLC - BECKLEY NPI is 1346411600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1709 HARPER ROAD
BECKLEY, WV
ZIP 25801-311
Phone: (304) 256-3027
Fax: (304) 256-8670

The provider's authorized official is Timothy 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 51D1083386 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2008 and was last updated on 2/13/2012.


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
151D1083386OTHERWEST VIRGINIACLIA
23810011911MEDICAIDWEST VIRGINIA
39375781MEDICARE PIN
401025OTHERWEST VIRGINIASTATE LICENSE
56269810001MEDICARE NSC

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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