Healthcare Provider Details
I. General information
NPI: 1982839031
Provider Name (Legal Business Name): URGENT CARE, PC - PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2009
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7219 MCKNIGHT RD SUITE F
PITTSBURGH PA
15237-3524
US
IV. Provider business mailing address
423 FORTRESS BLVD
MORGANTOWN WV
26508-1351
US
V. Phone/Fax
- Phone: 412-367-3278
- Fax: 412-367-5083
- Phone: 304-225-2500
- Fax: 304-985-6350
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOY
KIMBALL
Title or Position: CONTRACT MANAGER
Credential:
Phone: 763-349-6740