# MEDEXPRESS URGENT CARE PC - INDIANA

> 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 - Bloomington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932542925
- **Authorized official:** MR. TIM G BUGIN (VP OF PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 123 S FRANKLIN RD, BLOOMINGTON, IN 47404-5296
- **Practice address phone:** (812) 339-2305
- **Practice address fax:** (812) 339-2318
- **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:** 04/10/2013
- **Last updated:** 09/08/2016