Active NPI
Medexpress Urgent Care of Boynton Beach, LLC
- Urgent Care Clinic/Center
- Royal Palm Beach, FL
National Provider Identifier
1083970867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- HCC5468
- Legal business name
- MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC
- Doing business as
- MedExpress Urgent Care - Royal Palm Beach
- Practice address
- 1021 N State Road 7
Royal Palm Beach, FL 33411-5117 - Phone
- (561) 333-9331
- Fax
- (561) 792-2918
- NPI assigned
- Apr 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joy Kimball
- Title
- Contract Manager
- Phone
- (763) 349-6740
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | HCC5468 | FL | Primary |
Addresses
Primary practice location
1021 N State Road 7
Royal Palm Beach, FL 33411-5117
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019438000 | Medicaid | FL |
Other names 1
- MedExpress Urgent Care - Royal Palm Beach
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1083970867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 FORTRESS BLVD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081351",
"telephone_number": "304-225-2500",
"fax_number": "304-985-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N STATE ROAD 7",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334115117",
"telephone_number": "561-333-9331",
"fax_number": "561-792-2918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-06",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "CONTRACT MANAGER",
"authorized_official_telephone_number": "763-349-6740"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": "HCC5468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019438000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MedExpress Urgent Care - Royal Palm Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.