Medexpress Urgent Care Arkansas, P.a.
Organization Active NPI Urgent Care Clinic/Center · Bentonville, AR
NPI 1376964056 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1376964056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MEDEXPRESS URGENT CARE ARKANSAS, P.A.
- Practice address
- 1005 SE Walton Blvd
Bentonville, AR 72712-6775 - Phone
- (479) 254-6734
- Fax
- (479) 254-6836
- NPI assigned
- Dec 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Joy Kimball
- Title
- Contract Manager
- Phone
- (763) 349-6740
Other NPIs on the same Medicare enrollment 14
Practitioners 8
-
Fonda A Evins, APRN
-
Dana Shea Phillips, FNP-BC
-
Shahid Saleem Shah, M.D.
-
Tanya Leigh Walker, APRN
-
Callie Bradley, APRN
-
Julie M King, APRN
-
Henry Keiler Bluhm Jr., PA-C
-
David Mark Vester, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
1005 SE Walton Blvd
Bentonville, AR 72712
Phone (479) 254-6734
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1005 SE Walton Blvd
Bentonville, AR 72712-6775
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other names
- MedExpress Urgent Care - Bentonville, SE Walton Blvd
Other providers in Bentonville, AR
- Layne McLain
- Jack Dwayne McMillan
- Taylor Megan Meador
- Hope Nicolette Meadows
- Medequip Home Medical Supplies
- Medical Associates of Northwest Arkansas PA
- Medical Associates of Northwest Arkansas PA
- Zoe Medina
- Mediquest Inc
- Melissa L. Peck Counseling and Consulting PLLC
All providers in Bentonville, AR · Urgent Care Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.