Organization
MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Active
Parent organization
MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Authorized official
TIMOTHY BUGIN (VP OF PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
215 DON KNOTTS BLVD, SUITE 130, MORGANTOWN, WV 26501-6734
(304) 291-3627
(304) 284-3630
Mailing address
1751 EARL L CORE ROAD, MORGANTOWN, WV 26505
(304) 225-2500
(304) 985-6350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00043
STATE LICENSE
WV
05
—
3810002602
—
WV
01
—
51D0990987
CLIA
WV
Enumeration date
07/20/2005
Last updated
02/14/2012
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