Medexpress Urgent Care Arkansas, P.a.
Organization Active NPI Urgent Care Clinic/Center · Mountain Home, AR
NPI 1922488014 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1922488014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MEDEXPRESS URGENT CARE ARKANSAS, P.A.
- Practice address
- 305 Highway 62 E
Mountain Home, AR 72653-3655 - Phone
- (870) 425-0176
- Fax
- (870) 425-0196
- NPI assigned
- Jun 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Joy Kimball
- Title
- Contract Manager
- Phone
- (763) 349-6740
Other NPIs on the same Medicare enrollment 14
Practitioners 1
-
Janis P Bishop, DNP, CRNP
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| General Practice Physician |
208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
305 Highway 62 E
Mountain Home, AR 72653-3655
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211558002 | Medicaid | AR |
Other names
- MedExpress Urgent Care - Mountain Home, Highway 62 E
Other providers in Mountain Home, AR
- Jaimie L McMeechan
- Matthew James McNelley
- Susan McNutt
- Teresa McQuay
- Julia Meadows
- Joshua Alan Medley
- Medsense Health Chartered
- Cara Lynn Meisenheimer
- Joy Melick
- Richard R. Melick
All providers in Mountain Home, 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.