Active NPI
Medexpress Urgent Care, PLLC - Beckley
- Urgent Care Clinic/Center
- Beckley, WV
National Provider Identifier
1346411600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDEXPRESS URGENT CARE, PLLC - BECKLEY
- Practice address
- 1709 Harper Road
Beckley, WV 25801-3311 - Phone
- (304) 256-3027
- Fax
- (304) 256-8670
- NPI assigned
- Mar 14, 2008
- Last updated
- Feb 13, 2012
- 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
- Timothy Bugin
- Title
- VP of Payor Contracting
- Phone
- (304) 225-2500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary | |
| Emergency Medicine Physician | 207P00000X | NU |
Addresses
Primary practice location
1709 Harper Road
Beckley, WV 25801-3311
Mailing address
PO Box 719
Dellslow, WV 26531-0719
Phone (304) 985-3627
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810011911 | Medicaid | WV | |
| 01025 | Other | WV | STATE LICENSE |
| 51D1083386 | Other | WV | CLIA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1568461077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329091200000",
"number": "1346411600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "DELLSLOW",
"state": "WV",
"postal_code": "265310719",
"telephone_number": "304-985-3627",
"fax_number": "304-985-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 HARPER ROAD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013311",
"telephone_number": "304-256-3027",
"fax_number": "304-256-8670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE, PLLC - BECKLEY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2012-02-13",
"status": "A",
"authorized_official_last_name": "BUGIN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "VP OF PAYOR CONTRACTING",
"authorized_official_telephone_number": "304-225-2500"
},
"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": "3810011911",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "01025",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "51D1083386",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
- Med Surg Eye Care Inc
- Med Surg Eye Care Inc
- Med Surg Physician Group, Inc.
- Med Surg Physician Group, Inc. (Elena Behavioral Health)
- Medexpress Primary Care West Virginia, Inc. (MedExpress Primary Care - Beckley)
- Ina Louise Medina
- Rhoneka Medley
- Melissa a. Chapman, D.O. (Middle Cross Family Medical)
- Mercer County Board of Education
- Mercer County Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.