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NPI Code Detail

MEDICARE: MEDEXPRESS URGENT CARE ARKANSAS, PA

MEDICARE: MEDEXPRESS URGENT CARE ARKANSAS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1235508516
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDEXPRESS URGENT CARE ARKANSAS, PA
Provider Business Mailing Address
First Line : 423 FORTRESS BLVD
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-1351
Country : US
Telephone Number : 304-225-2500
Fax Number : 304-985-6350
Provider Business Practice Location Address
First Line : 5326 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-3528
Country : US
Telephone Number : 501-603-9885
Fax Number : 501-603-9898
Authorized Official
Title or Position : CONTRACT MANAGER
Name : JOY KIMBALL
Credential :
Telephone Number : 763-349-6740
Provider Enumeration Date : 09/17/2015
Last Update Date : 05/07/2024

Similar Medicare Providers

1932177318 — JAY O BRAINARD M.D.
Practice Location Address:
5300 W. MARKHAM
LITTLE ROCK, AR
72205-3528
Practice Phone: 501-664-5354
Practice Fax: 501-664-5257
1225006497 — DR. KATHERINE H BALTZ M.D.
Practice Location Address:
5300 W. MARKHAM
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1043289101 — DR. DAVID R ROZAS M.D.
Practice Location Address:
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LITTLE ROCK, AR
72205-3528
Practice Phone: 501-664-5354
Practice Fax: 501-664-5257
1962449892 — DR. EDWARD M PENICK III M.D.
Practice Location Address:
5300 W MARKHAM ST
LITTLE ROCK, AR
72205-3528
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Practice Fax: 501-664-5257
1699845834 — DR. EDWARD EARL SHERRILL D.D.S.
Practice Location Address:
5326 W MARKHAM ST , SUITE #3
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1396809679 — CENTRAL ARKANSAS OPHTHALMOLOGY
Practice Location Address:
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1063576346 — ARKANSAS EYEWEAR, INC.
Practice Location Address:
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Practice Fax: 501-664-5257

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