MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA


Address: 5430 Maccorkle Ave Se, Charleston, WV 25304-2224
Phone: 3049253627

MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA (NPI# 1649540899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649540899
Entity Type Organization
Organization Name MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA
Other Organization Name MEDEXPRESS URGENT CARE - CHARLESTON
Practice Address 5430 Maccorkle Ave Se
Charleston
WV 25304-2224
Mailing Address 1001 Consol Energy Dr
Canonsburg
PA 15317-6506
Practice Telephone 3049253627
Practice Fax Number 3049251163
Mailing Telephone 3042252500
Mailing Fax Number 7247431133
Enumeration Date 2012-01-05
Last Update Date 2016-09-21
Authorized Official Name MR. TIM G BUGIN (VP OF PAYOR CONTRACTING)
Authorized Official Telephone 3042252500
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WV STATE LICENSE 01612 01
WV 3810012430 05

Other Provider/Organization Names

Other Name Type Code
MedExpress Urgent Care - Charleston Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5430 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304-2224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659349405 Sidney Alan Humphrey Physician Assistant 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2006-03-09
1578936712 Tyler Fisher Physician Assistant 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2015-11-10
1568832996 Ashley Mueller Physician Assistant 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2015-09-28
1316325053 Kimberly D Slater Physician Assistant 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2015-05-14
1760892020 Benjamin Charles Cook Family Medicine 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2014-05-07
1588947097 Ashley Marie Dolan Physician Assistant 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2011-09-21
1629359534 Carla Saunders Physician Assistant 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2011-09-06
1740448430 Medexpress Urgent Care, Pllc - Charleston Emergency Medicine 5430 Maccorkle Ave Se, Charleston, WV 25304-2224 2008-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457579617 Medcare Express - North Charleston LLC Clinic/Center 1850 Sam Rittenberg Blvd, Suite B, Charleston, SC 29407-4936 2007-04-23
1497771919 Express Medical Care Clinic/Center 2049 Savannah Hwy, Suite D, Charleston, SC 29407-2228 2006-07-15
1164805545 Medcare Express North Charleston Clinic/Center 1850 Sam Rittenberg Blvd, Suite B, Charleston, SC 29407-4936 2015-07-03
1689972739 Nason Medical Center Iv, LLC Clinic/Center 319 Folly Rd, Charleston, SC 29412-2518 2011-03-14
1457655474 Medcare Urgent Care Center, W. Ashley LLC Clinic/Center 1850 Sam Rittenberg Blvd, Suite B, Charleston, SC 29407-4936 2011-01-05
1831416346 St. Andrews Urgent Care, PC Clinic/Center 975 Savannah Hwy, Suite 105, Charleston, SC 29407-7859 2010-04-23
1225215429 American Current Care Pa Clinic/Center 4115 Dorchester Road, Charleston, SC 29405 2008-01-30
1861693194 Integrated Health Care Providers, Inc. Clinic/Center 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 2007-05-31

Providers in the same taxonomy and state

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
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Competitor

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City CHARLESTON
Zip Code 25304

Improve Information

Please comment or provide details below to improve the information on MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA.

Dataset Information

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.

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