MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA (NPI# 1629434253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629434253 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA |
| Other Organization Name | MEDEXPRESS URGENT CARE - CROSS LANES, GOFF MOUNTAIN RD |
| Practice Address |
314 Goff Mountain Rd Cross Lanes WV 25313-6602 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 3047690301 |
| Practice Fax Number | 3047690860 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | 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 | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE | 01612 | 01 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Cross Lanes, Goff Mountain Rd | 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 |
| 1326351461 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 277 Greasy Ridge Road, Princeton, WV 24740-6900 | 2010-07-19 |
| 1538395959 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 4812 Maccorkle Avenue Sw, South Charleston, WV 25309-0000 | 2009-06-01 |
| Street Address |
314 GOFF MOUNTAIN RD |
| City | CROSS LANES |
| State | WV |
| Zip Code | 25313-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518938679 | Barbara J Koster | Nurse Practitioner | 314 Goff Mountain Rd, Suite 3, Cross Lanes, WV 25313-6602 | 2006-01-27 |
| 1598115974 | Kassie J. Cosgrove Latimer | Nurse Practitioner | 314 Goff Mountain Rd, Suite 3, Cross Lanes, WV 25313-6602 | 2016-06-16 |
| 1063881183 | Kristin Showen | Pharmacist | 314 Goff Mountain Rd, Suite 5, Cross Lanes, WV 25313-6602 | 2015-09-18 |
| 1568807394 | Charles Edward Bish | Pharmacist | 314 Goff Mountain Rd, Suite #5, Cross Lanes, WV 25313-6602 | 2013-05-07 |
| 1417194499 | Taylor S Brammer | Massage Therapist | 314 Goff Mountain Rd, Suite 13, Cross Lanes, WV 25313-6602 | 2009-01-14 |
| 1114112042 | David James Cornish | Podiatrist | 314 Goff Mountain Rd, Suite #1, Cross Lanes, WV 25313-6602 | 2007-09-13 |
| 1700079704 | Wv Spine and Pain Clinic | Anesthesiology | 314 Goff Mountain Rd, Suite 16, Cross Lanes, WV 25313-6602 | 2007-08-22 |
| 1023216009 | Ashley Nichole Bowe | Occupational Therapist | 314 Goff Mountain Rd, Suite 13 Medcare Therapy Center, Cross Lanes, WV 25313 | 2007-07-11 |
| 1326253592 | Camc Urgent Care Center | Family Medicine | 314 Goff Mountain Rd, Cross Lanes, WV 25313-1415 | 2007-05-11 |
| 1255544045 | Cottrell Family Chiropractic | Chiropractor | 314 Goff Mountain Rd, Suite 12, Cross Lanes, WV 25313-1415 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1578663589 | Dewey Wilson Mann Jr. | Dentist | 104 Goff Mtn Rd, Cross Lanes, WV 25313 | 2006-09-22 |
| Find all providers in zip 25313 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700899226 | Camc Urgent Care Center | Clinic/Center | 314 Goff Mountain Rd, Suite 3, Cross Lanes, WV 25313-1415 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043727787 | University Healthcare Physicians, Inc. | Clinic/Center | 61 Campus Dr, Martinsburg, WV 25404 | 2018-01-03 |
| 1417390154 | Fayette Medical Services Pllc | Clinic/Center | 5447 Maple Ln Ste B, Fayetteville, WV 25840-6872 | 2013-04-11 |
| 1699027714 | Eastern Div-ranson Urgent Care | Clinic/Center | 203 East Fourth Avenue Suite B, Ranson, WV 25438-1617 | 2012-10-12 |
| 1841564622 | Preston Memorial Medical Group | Clinic/Center | 27 N Robert Stone Way, Reedsville, WV 26547-7314 | 2012-02-27 |
| 1407180888 | Valeo Medical, Pllc | Clinic/Center | 260 Russell Ave, 260 Russell Ave, New Martinsville, WV 26155-1571 | 2009-10-01 |
| 1235316027 | Convenience Clinics of America, Inc | Clinic/Center | 2107 Pike St Ste 5, Parkersburg, WV 26101-6973 | 2008-01-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CROSS LANES |
| Zip Code | 25313 |
Please comment or provide details below to improve the information on MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA.
| 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.