Active NPI
Medexpress Urgent Care of Boynton Beach, LLC
Doing business as MedExpress Urgent Care - Boca Raton
- Urgent Care Clinic/Center
- Boca Raton, FL
National Provider Identifier
1245506807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- HCC8667
- Legal business name
- MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC
- Doing business as
- MedExpress Urgent Care - Boca Raton
- Practice address
- 19090 State Road 7
Boca Raton, FL 33498-4763 - Phone
- (561) 314-4650
- Fax
- (561) 314-4655
- NPI assigned
- Mar 28, 2012
- Last updated
- May 7, 2024
- 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 |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | HCC8667 | FL | Primary |
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
19090 State Road 7
Boca Raton, FL 33498-4763
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000280900 | Medicaid | FL |
Other names 1
- MedExpress Urgent Care - Boca Raton
National Provider Directory
National Provider DirectoryLocations
19090 State Road 7
Boca Raton, FL 33498
Phone (561) 314-4650
Practitioners & affiliated clinicians
Practitioners 128
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1245506807",
"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": "19090 STATE ROAD 7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334984763",
"telephone_number": "561-314-4650",
"fax_number": "561-314-4655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE OF BOYNTON BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-28",
"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": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": "HCC8667",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000280900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MedExpress Urgent Care - Boca Raton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, 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.