Active NPI
Medexpress Urgent Care, PC - Tennessee
Doing business as Optum Virtual Care
- Urgent Care Clinic/Center
- Morgantown, WV
National Provider Identifier
1114529955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDEXPRESS URGENT CARE, PC - TENNESSEE
- Doing business as
- Optum Virtual Care
- Practice address
- 423 Fortress Blvd
Morgantown, WV 26508-1351 - Phone
- (304) 225-2500
- NPI assigned
- Nov 16, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
423 Fortress Blvd
Morgantown, WV 26508-1351
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other names 1
- Optum Virtual Care
National Provider Directory
National Provider Directory- Tax ID family
- Ao Smith - Ashland City
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba A.O. Smith - Ashland City
- General Practice Physician
- Ashland City, TN
- NPI 1407518160
Locations
800 S Gay St
Ste 2021
Knoxville, TN 37929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1114529955",
"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": "423 FORTRESS BLVD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081351",
"telephone_number": "304-225-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE, PC - TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"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": "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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optum Virtual Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morgantown, WV
- Medexpress Urgent Care Wisconsin, S.C. (Optum Virtual Care)
- Medexpress Urgent Care, Inc - West Virginia (MedExpress Urgent Care - Morgantown)
- Medexpress Urgent Care, Inc. - Ohio (Optum Virtual Care)
- Medexpress Urgent Care, P.S.C. - Kentucky (Optum Virtual Care)
- Medexpress Urgent Care, PC - Georgia (Optum Virtual Care)
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - David Hefner, D.O.)
- Kevin John Meehan, LICSW
- Scott Meester, M.D.
- Shirley Mefford
- Jesse Mehle, MA, NCC
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.