Organization
MEDEXPRESS URGENT CARE KANSAS, P.A.
Active
Other names
MedExpress Urgent Care - Derby, N Rock Rd
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUGIN (VP PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
2001 N ROCK ROAD, DERBY, KS 67037-3795
(316) 788-1437
(316) 788-1442
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
—
201120000A
—
KS
Enumeration date
03/31/2016
Last updated
11/04/2016
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