MEDEXPRESS URGENT CARE, PC - INDIANA (NPI# 1710328653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710328653 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, PC - INDIANA |
| Other Organization Name | MEDEXPRESS URGENT CARE - LAFAYETTE |
| Practice Address |
102 Sagamore Pkwy S Lafayette IN 47905-4745 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 7654462871 |
| Practice Fax Number | 7654462872 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | MR. TIM G. 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 |
|---|---|---|---|
| IN | 201134900I | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Lafayette | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326476003 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 489 South State Road 135, Suite E, Greenwood, IN 46142-1407 | 2013-10-16 |
| 1427490432 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 3051 S Us Highway 41, Terre Haute, IN 47802-3791 | 2013-07-19 |
| Street Address |
102 SAGAMORE PKWY S |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286431 | Hulin Urgent Care Services, LLC | Clinic/Center | 3217 Johnston St, Lafayette, LA 70503-3743 | 2020-02-07 |
| 1346887098 | Hulin Urgent Care Services, LLC | Clinic/Center | 203 Westgate Rd, Lafayette, LA 70506-2712 | 2019-12-02 |
| 1760996706 | Occupational Medicine Clinics of South Louisiana | Clinic/Center | 314 Youngsville Hwy Ste 1a, Lafayette, LA 70508-4524 | 2017-11-29 |
| 1184151474 | Rocky Mountain Physicians Group, PC | Clinic/Center | 297 N Us Highway 287 Ste 108-110, Lafayette, CO 80026-8932 | 2017-05-17 |
| 1598159279 | Hulin Urgent Care Services, LLC | Clinic/Center | 6770 Johnston St Ste B, Lafayette, LA 70503-6202 | 2015-03-20 |
| 1659513901 | Alliance Medical Corporation | Clinic/Center | 1009 Oak Hill Rd Fl 3, Lafayette, CA 94549-3869 | 2009-04-01 |
| 1356960884 | Priority Access Urgent Care LLC | Clinic/Center | 2912 Johnston St, Lafayette, LA 70503-3246 | 2020-04-14 |
| 1720505134 | Urgent Care of Lafayette | Clinic/Center | 913 S College Rd Ste 203, Lafayette, LA 70503-3062 | 2017-08-25 |
| 1386066769 | Acadiana Center LLC | Clinic/Center | 2501 W Pinhook Rd, Lafayette, LA 70508-3346 | 2014-01-20 |
| 1891132106 | Stat Med PC A California Medical Professional Corporation | Clinic/Center | 970 Dewing Ave, 100b, Lafayette, CA 94549-4291 | 2013-05-28 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on MEDEXPRESS URGENT CARE, PC - INDIANA.
| 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.