MEDICARE: 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
1	207P00000X	Emergency Medicine Physician	01612	WV
2	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01612	OTHER	WV	STATE LICENSE

General Provider Information

NPI Number	:	1326351461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	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	:	277 GREASY RIDGE ROAD
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-6900
Country	:	US
Telephone Number	:	304-425-7615
Fax Number	:	304-425-7635

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACTING
Name	:	JASON GALLAGHER
Credential	:
Telephone Number	:	304-225-2500

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	05/02/2025

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

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