MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA (NPI# 1649668047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649668047 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA |
| Other Organization Name | MEDEXPRESS URGENT CARE - GLEN DALE, WHEELING AVE |
| Practice Address |
1585 Wheeling Ave Glen Dale WV 26038-1731 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 3048435381 |
| Practice Fax Number | 3048430192 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2015-01-07 |
| 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 | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3910007104 | 05 | |
| WV | STATE LICENSE | 01612 | 01 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Glen Dale, Wheeling Ave | 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 |
| 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 |
| 1588103626 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 5870 Webster Rd, Suite 101, Summersville, WV 26651-9105 | 2017-02-22 |
| Street Address |
1585 WHEELING AVE |
| City | GLEN DALE |
| State | WV |
| Zip Code | 26038-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185017 | Chelsey Kaye Davis | Nurse Practitioner | 1585 Wheeling Ave, Glen Dale, WV 26038-1731 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224432 | Kaitlin Renee Goddard | Occupational Therapist | 605 Woodridge Drive, Glen Dale, WA 26038 | 2018-08-09 |
| 1992012728 | Ignacio H Luna Md Inc | Urology | 426 Eighth St., Suite 300, Glen Dale, WV 26038 | 2010-08-31 |
| 1073609178 | Ignacio Hoelzl Luna | Urology | 426 Eight Street, Suite 300, Glendale, WV 26038 | 2006-10-05 |
| 1205882172 | Michail Dolgovskij | Family Medicine | 2100 Little Grave Creek, Glen Dale, WV 26038 | 2006-05-25 |
| 1801892013 | Glen Dale Vol. Fire Dept, Inc. | Ambulance | 402 Wheeling Ave., Glen Dale, WV 26038 | 2005-06-22 |
| 1942859897 | Ocucare Ophthalmic Services, Pllc | Optometrist | 316 4th St, Glen Dale, WV 26038 | 2019-09-04 |
| 1568816072 | Janet Lynn Hicks | Nurse Practitioner | 426 8th St Ste 305, Glen Dale, WV 26038 | 2016-04-20 |
| 1093888067 | Shawn Posin | Emergency Medicine | 800 Wheeling Ave, Glen Dale, WV 26038 | 2006-11-16 |
| 1609884634 | Frank George Diettinger | Radiology | 800 Wheeling Ave, Glendale, WV 26038 | 2006-08-04 |
| 1689074429 | Jayda Renae Varner | Specialist/Technologist | 3191 Glen Dale Heights Rd, Glen Dale, WV 26038-1177 | 2014-08-29 |
| Find all providers in zip 26038 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 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 | ||||
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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.