Medexpress Urgent Care Minnesota PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE MINNESOTA PC

Doing business as

MedExpress Urgent Care - Cloquet, Highway 33 S

Practice address

707 Highway 33 S
Suite 19
Cloquet, MN 55720-2696

Phone

(218) 878-7903

Fax

(218) 879-1213

NPI assigned

Sep 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tim Bugin

Title

VP Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedExpress Urgent Care - Cloquet, Highway 33 S Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1053860338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HIGHWAY 33 S",
            "address_2": "SUITE 19",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202696",
            "telephone_number": "218-878-7903",
            "fax_number": "218-879-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588025332",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Cloquet, Highway 33 S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Paul McKee, MD
• June Denise McLachlan, RN, FNP
• Timothy L. McLeod, MD
• Olivia McNamara, LGSW
• Katie Ann McNelis
• Meehan Mental Health Services (Create Wellness)
• Kyle Alden Menzel, M.D.
• Jaime Milbridge-Scott
• David Neil Miles, MSED, LPCC
• Rachel Miles, RN

• Urgent Care Clinic/Center in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.