Organization
MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA
Active
Other names
MedExpress Urgent Care - Cross Lanes, Goff Mountain Rd
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
314 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-6602
(304) 769-0301
(304) 769-0860
Mailing address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(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
—
01612
STATE LICENSE
WV
Enumeration date
01/12/2016
Last updated
04/10/2024
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