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NPI Code Detail

MEDICARE: MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA

MEDICARE: MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201612OTHERWVSTATE LICENSE

General Provider Information

NPI Number : 1962772111
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA
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 : 215 DON KNOTTS BLVD
Second Line : SUITE 130
City : MORGANTOWN
State : WV
Zip : 26501-6734
Country : US
Telephone Number : 304-291-3627
Fax Number : 304-284-8667
Authorized Official
Title or Position : CENTER MANAGER
Name : JOY KIMBALL
Credential :
Telephone Number : 763-349-6740
Provider Enumeration Date : 01/05/2012
Last Update Date : 04/10/2024

Similar Medicare Providers

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Practice Location Address:
215 DON KNOTTS BLVD STE 130
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26501-6734
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1417956053 — LARRY VICTOR STARCHER II MD
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1568461077 — FRANK W ALDERMAN M.D.
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MORGANTOWN, WV
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Practice Fax: 304-284-8667
1235138280 — MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Practice Location Address:
215 DON KNOTTS BLVD , SUITE 130
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Practice Fax: 304-284-3630
1750575544 — DOUGLAS D WRIGHT PA
Practice Location Address:
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Practice Fax:
1770749913 — PEGGY LEE FERGUSON CRNP
Practice Location Address:
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MORGANTOWN, WV
26501-6734
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Practice Fax: 304-284-8667
1598071250 — GRETCHEN M GAROFOLI PHARMD, BCACP
Practice Location Address:
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Practice Fax: 304-225-3784

Directions to “MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA ” Practice Location

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