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NPI Code Detail

MEDICARE: URGENT CARE, INC - WEST VIRGINIA

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
1207P00000XEmergency Medicine Physician
2261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101612OTHERWVSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588103626
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 : 5870 WEBSTER RD
Second Line : SUITE 101
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-3709
Fax Number : 304-872-9860
Authorized Official
Title or Position : DIRECTOR OF CONTRACTING
Name : JASON GALLAGHER
Credential :
Telephone Number : 304-225-2500
Provider Enumeration Date : 02/22/2017
Last Update Date : 05/02/2025

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

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