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Organization

MEDEXPRESS URGENT CARE, INC. - HUNTINGTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY BUGIN (VP OF PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization

Contact information

Practice address
3120 US ROUTE 60, HUNTINGTON, WV 25705-2739
(304) 522-3627
(304) 522-1234
Mailing address
PO BOX 719, DELLSLOW, WV 26531-0719
(304) 985-3627
(304) 985-3630

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
01601
STATE LICENSE
WV
05
3810013420
WV
01
51D1089047
CLIA
WV
Enumeration date
07/09/2008
Last updated
02/13/2012
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