MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA (NPI# 1326351461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326351461 |
Entity Type | Organization |
Organization Name | MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA |
Other Organization Name | MEDEXPRESS URGENT CARE - PRINCETON |
Practice Address |
277 Greasy Ridge Road Princeton WV 24740-6900 |
Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
Practice Telephone | 3044257615 |
Practice Fax Number | 3044257635 |
Mailing Telephone | 3042252500 |
Mailing Fax Number | 7247431133 |
Enumeration Date | 2010-07-19 |
Last Update Date | 2016-09-21 |
Authorized Official Name | MR. TIM BUGIN (VP PAYOR CONTRACTING) |
Authorized Official Telephone | 3042252500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 01612 | WV | Allopathic & Osteopathic Physicians |
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | STATE LICENSE | 01612 | 01 |
WV | 3810018299 | 05 |
Other Name | Type Code |
---|---|
MedExpress Urgent Care - Princeton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194276873 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 613 Randolph Avenue, Elkins, WV 26241-3950 | 2016-10-18 |
1306201215 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 301 R H L Blvd Ste 3, Charleston, WV 25309-8275 | 2015-12-18 |
1962885582 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 123 Enterprise Drive, Logan, WV 25601-3750 | 2015-07-01 |
1649668047 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 1585 Wheeling Ave, Glen Dale, WV 26038-1731 | 2015-01-07 |
1659784056 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 956 Maple Dr, Morgantown, WV 26505-2813 | 2014-06-04 |
1780016774 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 83 Retail Commons Pkwy, Martinsburg, WV 25403-6172 | 2013-08-01 |
1053602870 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 218 Three Springs Dr, Weirton, WV 26062-3815 | 2011-04-27 |
1760786131 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 1560 Jefferson Street North, Lewisburg, WV 24901-2203 | 2010-12-29 |
1538395959 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 4812 Maccorkle Avenue Sw, South Charleston, WV 25309-0000 | 2009-06-01 |
1588103626 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 5870 Webster Rd, Suite 101, Summersville, WV 26651-9105 | 2017-02-22 |
Street Address |
277 GREASY RIDGE ROAD |
City | PRINCETON |
State | WV |
Zip Code | 24740-6900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285975383 | Med Express Princeton | Clinic/Center | 277 Greasy Ridge Road, Princeton, WV 24740 | 2013-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
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Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1326408204 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 2128 N Main St, Princeton, IL 61356-9728 | 2016-03-04 |
1285975383 | Med Express Princeton | Clinic/Center | 277 Greasy Ridge Road, Princeton, WV 24740 | 2013-03-14 |
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1699814020 | Mountain Medical PC, LLC | Clinic/Center | 747 N Main St, Suite C, Moorefield, WV 26836-1020 | 2007-02-05 |
1730262668 | Snowshoe Mountain Inc. | Clinic/Center | 10 Snowshoe Dr., Snowshoe, WV 26209 | 2006-10-23 |
1992726236 | Jefferson Urgent Care, LLC | Clinic/Center | 84 Somerset Blvd, Charles Town, WV 25414-4827 | 2006-07-22 |
1013960632 | Medbrook Medical Associates Inc | Clinic/Center | 1370 Johnson Avenue, Bridgeport, WV 26330-1382 | 2006-05-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.