Organization
MEDEXPRESS URGENT CARE ARKANSAS, P.A.
Active
Other names
MedExpress Urgent Care - Mountain Home, Highway 62 E
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KIMBALL (CONTRACT MANAGER)
(763) 349-6740
Entity
Organization
Contact information
Practice address
305 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3655
(870) 425-0176
(870) 425-0196
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
—
—
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211558002
—
AR
Enumeration date
06/03/2015
Last updated
05/07/2024
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