NPIMap

Organization Active NPI

Medexpress Urgent Care, PC - Virginia

Doing business as MedExpress Urgent Care - Bluefield

  • Urgent Care Clinic/Center
  • Bluefield, VA
National Provider Identifier
1215219878
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDEXPRESS URGENT CARE, PC - VIRGINIA
Doing business as
MedExpress Urgent Care - Bluefield
Practice address
4003 College Ave
Suite B
Bluefield, VA 24605-2043
Phone
(276) 322-2085
Fax
(276) 322-2590
NPI assigned
Sep 9, 2011
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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
(304) 985-6350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

4003 College Ave
Suite B
Bluefield, VA 24605-2043

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1215219878MedicaidVA
3810022525MedicaidWV

Other names 1

  • MedExpress Urgent Care - Bluefield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111123000505 VA Part B Supplier - Clinic/Group Practice 3173797586 Receives reassigned benefits from 193 practitioners
20 other NPIs on this enrollment
Practice locations: Winchester, VA; Staunton, VA; Salem, VA; Roanoke, VA; Richmond, VA; Midlothian, VA; Martinsville, VA; Lynchburg, VA…
O20120502000381 VA DME Supplier - Physician - Family Practice 3173797586 Practice locations: Bluefield, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory

Locations

5610 Williamson Rd
Roanoke, VA 24012
Phone (540) 265-8924

Practitioners & affiliated clinicians

Practitioners 196

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 196

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1215219878",
    "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": "4003 COLLEGE AVE",
            "address_2": "SUITE B",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052043",
            "telephone_number": "276-322-2085",
            "fax_number": "276-322-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "304-985-6350"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215219878",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022525",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Bluefield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.