Organization Active NPI

Medexpress Urgent Care, PC - Pennsylvania

Doing business as MedExpress Urgent Care - St. Clair, Clover Dr

  • Urgent Care Clinic/Center
  • Saint Clair, PA
National Provider Identifier
1720545320
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA
Doing business as
MedExpress Urgent Care - St. Clair, Clover Dr
Practice address
4 Clover Dr
Saint Clair, PA 17970-2200
Phone
(570) 429-1012
Fax
(570) 429-1013
NPI assigned
Mar 1, 2019
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4 Clover Dr
Saint Clair, PA 17970-2200

Mailing address

423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500

Other names 1

  • MedExpress Urgent Care - St. Clair, Clover Dr Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000511 PA Part B Supplier - Clinic/Group Practice 8224181482 Receives reassigned benefits from 339 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

3024 Washington Pike
Bridgeville, PA 15017
Phone (412) 221-5475

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

113 Cavasina Dr
Ste 700
Canonsburg, PA 15317
Phone (724) 873-8932

1048 Lincoln Way E
Ste 101
Chambersburg, PA 17201
Phone (717) 267-2273

1440 Morrell Ave
Connellsville, PA 15425
Phone (724) 626-1347

2126 Oakland Ave
Indiana, PA 15701
Phone (724) 349-4362

1842 Fruitville Pike
Lancaster, PA 17601
Phone (717) 569-1709

3876 State Route 30
Latrobe, PA 15650
Phone (724) 537-5064

1010 W Crestview Dr
Lebanon, PA 17042
Phone (717) 272-7469

6998 Crider Rd
Ste 100
Mars, PA 16046
Phone (724) 778-3627

5944 Steubenville Pike
Mc Kees Rocks, PA 15136
Phone (412) 787-3508

3840 Washington Rd
McMurray, PA 15317
Phone (724) 941-3273

2655 Mosside Blvd
Monroeville, PA 15146
Phone (412) 372-5649

8702 University Blvd
Moon Twp, PA 15108
Phone (412) 299-3627

4620 William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-3027

12120 State Route 30
Ste 40
North Huntingdon, PA 15642
Phone (724) 863-4362

5201 Baum Blvd
Pittsburgh, PA 15224
Phone (412) 687-3627

5201 Baum Blvd
Side
Pittsburgh, PA 15224
Phone (412) 687-3627

4 Clover Dr
Saint Clair, PA 17970
Phone (570) 429-1012

220 Greene Plz
#103
Waynesburg, PA 15370
Phone (724) 852-6391

10632 Perry Hwy
Wexford, PA 15090
Phone (316) 209-9116

677 Kidder St
Ste D
Wilkes Barre Township, PA 18702
Phone (570) 825-2046

Practitioners & affiliated clinicians

Practitioners 315

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.

View all 315

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1720545320",
    "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": "4 CLOVER DR",
            "city": "SAINT CLAIR",
            "state": "PA",
            "postal_code": "179702200",
            "telephone_number": "570-429-1012",
            "fax_number": "570-429-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "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": "207P00000X",
            "taxonomy_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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - St. Clair, Clover Dr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress Urgent Care - St. Clair, Clover Dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.