Me Urgent Care Nebraska, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ME URGENT CARE NEBRASKA, INC

Doing business as

MedExpress Urgent Care - Fremont, E 23rd St

Practice address

1240 East 23Rd Street
Fremont, NE 68025-2411

Phone

(402) 721-8668

Fax

(402) 721-0794

NPI assigned

Dec 29, 2015

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 - Fremont, E 23rd St Doing business as

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1831554211",
    "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": "1240 EAST 23RD STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252411",
            "telephone_number": "402-721-8668",
            "fax_number": "402-721-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME URGENT CARE NEBRASKA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2017-03-02",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026545600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Fremont, E 23rd St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn V McKnight, AUD
• Thomas A McKnight, MD
• Lee McMahon, D.P.T.
• Amy McMurtry, PHARMD
• MD West One, PC
• Anna Medina
• Sierra M Mehaffey
• Jocelyne Mendiola
• Garrett Leonard Mendlik, DDS MS
• Mark Garrett Mendlik, DDS MS

• Urgent Care Clinic/Center in Fremont, NE
• Providers in Fremont, NE by specialty
• Urgent Care Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.