MEDEXPRESS URGENT CARE MINNESOTA PC (NPI# 1730639162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730639162 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE MINNESOTA PC |
| Other Organization Name | MEDEXPRESS URGENT CARE - MANKATO, MADISON AVE |
| Practice Address |
921 Madison Ave Suite 102 Mankato MN 56001-6141 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 5073459495 |
| Practice Fax Number | 5073457738 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2017-01-12 |
| 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 |
|---|---|---|---|
| MN | 1588025332 | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Mankato, Madison Ave | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053860338 | Medexpress Urgent Care Minnesota PC | Emergency Medicine | 707 Highway 33 S, Suite 19, Cloquet, MN 55720-2696 | 2016-09-27 |
| Street Address |
921 MADISON AVE SUITE 102 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916046 | Now Care Medical Centers | Clinic/Center | 1809 Adams St, Mankato, MN 56001-4841 | 2005-10-13 |
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| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1306464953 | Allied Operation Support LLC | Clinic/Center | 2136 Ford Pkwy # 5195, Saint Paul, MN 55116-1863 | 2020-07-10 |
| 1902459209 | The Duluth Clinic Ltd | Clinic/Center | 1301 Miller Trunk Hwy Ste 400, Duluth, MN 55811-5639 | 2019-07-17 |
| 1780162552 | Presence Telehealth Pllc | Clinic/Center | 1232 S Oak Ave, Owatonna, MN 55060-3925 | 2018-08-02 |
| 1033641337 | Md Online Care P.C. | Clinic/Center | 7964 Brooklyn Blvd., Suite 140, Brooklyn Park, MN 55445-2391 | 2017-03-28 |
| 1447605514 | St. Francis Regional Medical Center | Clinic/Center | 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379-3164 | 2016-04-26 |
| 1942674452 | New Horizon Urgent Care and Clinic LLC | Clinic/Center | 7809 Southtown Ctr, Suite 343, Bloomington, MN 55431-1324 | 2015-11-20 |
| 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.