Organization
URGENT CARE, INC - WEST VIRGINIA
Active
Other names
Urgent Care, Inc - West Virginia Logan
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GALLAGHER (DIRECTOR OF CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
123 ENTERPRISE DRIVE, LOGAN, WV 25601-3750
(304) 752-0183
(304) 752-4394
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
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01612
STATE LICENSE
WV
05
—
3910007105
—
WV
Enumeration date
07/01/2015
Last updated
05/02/2025
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