Organization
MEDEXPRESS URGENT CARE ILLINOIS, PC
Active
Other names
MedExpress Urgent Care - O'Fallon, W Highway 50
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
1711 W HIGHWAY 50, O FALLON, IL 62269-1681
(618) 628-1791
(618) 628-1795
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
Enumeration date
09/27/2016
Last updated
03/24/2017
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