Medexpress Urgent Care, Inc - West Virginia

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA

Practice address

314 Goff Mountain Rd
Cross Lanes, WV 25313-6602

Phone

(304) 769-0301

Fax

(304) 769-0860

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Tim Bugin

Title

VP Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedExpress Urgent Care - Cross Lanes, Goff Mountain Rd Doing business as

Tax ID family

Medexpress Urgent Care - Cross Lanes Goff Mountain Rd3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Medexpress Urgent Care, Inc - West Virginia

  • Urgent Care Clinic/Center
  • South Charleston, WV
  • NPI 1538395959
  NPD tax ID
• Urgent Care, Inc. - West Virginia

  • Urgent Care Clinic/Center
  • Princeton, WV
  • NPI 1285975383
  NPD tax ID

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1629434253",
    "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": "314 GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253136602",
            "telephone_number": "304-769-0301",
            "fax_number": "304-769-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "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"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01612",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Cross Lanes, Goff Mountain Rd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Lynn McDougle, PHARMD
• Brenna McGraw
• Jerry Wayne Meadows
• Haley Means
• Medcare Therapy Center
• Medexpress Urgent Care, Inc. - West Virginia
• Brenda Miller
• Chelsea Minx
• Tina Mitchell
• Mitri a. Ghareeb, DDS, PC

• Urgent Care Clinic/Center in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Urgent Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.