Organization
MEDEXPRESS URGENT CARE IDAHO, P.C.
Active
Other names
Optum Virtual Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
03/16/2021
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