# MEDEXPRESS URGENT CARE, PC - MICHIGAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MedExpress Urgent Care - Jenison, Baldwin St
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164879607
- **Authorized official:** BRETT GALL (DIRECTOR PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 345 BALDWIN ST, JENISON, MI 49428-7988
- **Practice address phone:** (616) 667-2403
- **Practice address fax:** (616) 667-2459
- **Mailing address:** 1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (724) 743-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2016
- **Last updated:** 07/21/2022