Healthcare Provider Details

I. General information

NPI: 1700159027
Provider Name (Legal Business Name): URGENT CARE, INC - WEST VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BECKLEY CROSSING SHPG CTR
BECKLEY WV
25801-7110
US

IV. Provider business mailing address

423 FORTRESS BLVD
MORGANTOWN WV
26508-1351
US

V. Phone/Fax

Practice location:
  • Phone: 304-252-6639
  • Fax: 304-252-6681
Mailing address:
  • Phone: 304-225-2500
  • Fax: 304-985-6350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON GALLAGHER
Title or Position: DIRECTOR OF CONTRACTING
Credential:
Phone: 304-225-2500