Organization
MEDEXPRESS URGENT CARE, PC - MICHIGAN
Active
Other names
MedExpress Urgent Care - Benton Harbor, M 139
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
1803 M 139, BENTON HARBOR, MI 49022-6103
(269) 934-8550
(269) 934-8660
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
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
05
—
1649694407
—
MI
Enumeration date
07/20/2016
Last updated
12/27/2016
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