Medexpress Urgent Care, PC - Michigan

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE, PC - MICHIGAN

Doing business as

MedExpress Urgent Care - Jackson, N West Ave

Practice address

1325 N West Ave
Jackson, MI 49202-2050

Phone

(517) 768-0384

Fax

(517) 768-0386

NPI assigned

Aug 21, 2014

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tim Bugin

Title

VP Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedExpress Urgent Care - Jackson, N West Ave Doing business as

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1336548734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022050",
            "telephone_number": "517-768-0384",
            "fax_number": "517-768-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649694407",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Jackson, N West Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Ann McRae, MSW
• Amanda McVey
• Frances J Meade
• Tracy J Meade
• Crystal Lea Meadows, CPPS
• Medical Laboratory Service Inc
• Robert Charles Medlar, M.D.
• Beverly Medlen, CRNA
• Medplus P C
• Kristin Marie Mees

• Urgent Care Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.