Organization
MEDEXPRESS URGENT CARE, PLLC - PARKERSBURG
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
1500 GRAND CENTRAL AVE, STE 115, VIENNA, WV 26105-1079
(304) 295-2311
(304) 295-2315
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
—
01021
STATE LICENSE
WV
05
—
3810004363
—
WV
01
—
51D1048447
CLIA
WV
Enumeration date
11/15/2005
Last updated
02/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us