# MEDEXPRESS URGENT CARE, PLLC - PARKERSBURG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972585099
- **Authorized official:** TIMOTHY BUGIN (VP OF PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 1500 GRAND CENTRAL AVE, STE 115, VIENNA, WV 26105-1079
- **Practice address phone:** (304) 295-2311
- **Practice address fax:** (304) 295-2315
- **Mailing address:** PO BOX 719, DELLSLOW, WV 26531-0719
- **Mailing address phone:** (304) 985-3627
- **Mailing address fax:** (304) 985-3630

## 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:** 11/15/2005
- **Last updated:** 02/14/2012