MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA (NPI# 1639436256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639436256 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA |
| Other Organization Name | MEDEXPRESS URGENT CARE - CLARKSBURG, EMILY DR |
| Practice Address |
101 Emily Dr Clarksburg WV 26301-5502 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 3046235094 |
| Practice Fax Number | 3046235826 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | MR. TIM BUGIN (VP OF 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 | 3810023428 | 05 | |
| WV | STATE LICENSE | 01612 | 01 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Clarksburg, Emily Dr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902147564 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 563 State Route 34, Hurricane, WV 25526-7000 | 2013-03-07 |
| 1891030334 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 5161 Washington St W, Cross Lanes, WV 25313-1535 | 2012-12-11 |
| 1003164211 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 10 Elm Grove Crossing Mall, Wheeling, WV 26003-5300 | 2012-08-17 |
| 1801173653 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 630 Fairmont Ave, Fairmont, WV 26554-5104 | 2011-11-08 |
| 1316227838 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 120 Medical Park Drive, Suite 100, Bridgeport, WV 26330 | 2011-08-29 |
| 1689954109 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 1355 Edwin Miller Boulevard, Suite A, Martinsburg, WV 25404 | 2011-08-29 |
| 1629379607 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 620 National Rd, Suite 300, Wheeling, WV 26003-6560 | 2010-11-08 |
| Street Address |
101 EMILY DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| 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 | CLARKSBURG |
| Zip Code | 26301 |
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.