MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA (NPI# 1740550995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740550995 |
Entity Type | Organization |
Organization Name | MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA |
Other Organization Name | MEDEXPRESS URGENT CARE - BECKLEY |
Practice Address |
1709 Harper Rd Beckley WV 25801-3311 |
Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
Practice Telephone | 3042568671 |
Practice Fax Number | 3042568670 |
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 |
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 | 3810011911 | 05 | |
WV | STATE LICENSE | 01612 | 01 |
Other Name | Type Code |
---|---|
MedExpress Urgent Care - Beckley | 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 |
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 |
Street Address |
1709 HARPER RD |
City | BECKLEY |
State | WV |
Zip Code | 25801-3311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235418005 | Jessica Wickline | Family Medicine | 1709 Harper Rd, Beckley, WV 25801-3311 | 2011-08-11 |
1669005807 | Destiny Faith Meadows | Nurse Practitioner | 1709 Harper Rd, Beckley, WV 25801-3311 | 2020-02-17 |
1477119725 | Medexpress Primary Care West Virginia, Inc. | Family Medicine | 1709 Harper Rd, Beckley, WV 25801-3311 | 2019-05-13 |
1073882742 | Courtney Beth Stewart | Physician Assistant | 1709 Harper Rd, Beckley, WV 25801-3311 | 2011-12-23 |
1063781029 | Sherri Jo Lilly | Physician Assistant | 1709 Harper Rd, Beckley, WV 25801-3311 | 2011-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
Find all providers in zip 25801 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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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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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.