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General NPI Number Information
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NPI Number | 1285975383
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Entity Type | Organization
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Legal Business Name | URGENT CARE, INC. - WEST VIRGINIA
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 277 GREASY RIDGE ROAD
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-425-7615
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Fax | 304-425-7635
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Provider Business Mailing Address
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Address Line | 423 FORTRESS BLVD
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City | MORGANTOWN
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State | WV
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Zip | 26508-1351
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Country | US
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Telephone | 304-225-2500
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Fax | 304-985-6350
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Authorized Official
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Title or Position | DIRECTOR OF CONTRACTING
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Name | JASON GALLAGHER
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Credential |
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Telephone | 304-225-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 60610
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License Number State | WV
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