NPIMap

Medexpress Urgent Care Arkansas, P.a.

Organization Active NPI Urgent Care Clinic/Center · Hot Springs, AR

NPI 1154718567 · NPPES record last updated May 7, 2024

Key facts

NPI
1154718567
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
MEDEXPRESS URGENT CARE ARKANSAS, P.A.
Practice address
3426 Central Avenue
Hot Springs, AR 71913-6277
Phone
(501) 318-9895
Fax
(501) 318-9906
NPI assigned
Apr 23, 2015
Organization subpart
No

Authorized official

Name
Joy Kimball
Title
Contract Manager
Phone
(763) 349-6740

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140701002053 AR Part B Supplier - Clinic/Group Practice 7012132293 Receives reassigned benefits from 56 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Benton, AR; Springdale, AR; Russellville, AR; Rogers, AR; Pine Bluff, AR; North Little Rock, AR; Mountain Home, AR; Little Rock, AR…

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207P00000X
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

3426 Central Avenue
Hot Springs, AR 71913-6277

Mailing address

423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500

Other names

  • MedExpress Urgent Care - Hot Springs, Central Ave Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1154718567",
    "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": "3426 CENTRAL AVENUE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136277",
            "telephone_number": "501-318-9895",
            "fax_number": "501-318-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "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": "MedExpress Urgent Care - Hot Springs, Central Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

All providers in Hot Springs, AR · Urgent Care Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.