MEDEXPRESS URGENT CARE - MARTINSBURG – NPI #1689954109
Clinic/Center

MEDEXPRESS URGENT CARE - MARTINSBURG is an AHC clinic located in MARTINSBURG, WV. NPPES has assigned the NPI number 1689954109 to MEDEXPRESS URGENT CARE - MARTINSBURG on August 29, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDEXPRESS URGENT CARE - MARTINSBURG” is a dba name, the actual legal business name for this organization is MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 2 years ago on Apr 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDEXPRESS URGENT CARE - MARTINSBURG below.

NPI Profile for
MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA

NPI Number
1689954109
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA
Doing Business As (dba): MEDEXPRESS URGENT CARE - MARTINSBURG
Primary location
1355 EDWIN MILLER BOULEVARD
SUITE A
MARTINSBURG, WV 25404
Phone: (304) 263-6753 Fax: (304) 263-8278
Mailing address
423 FORTRESS BLVD
MORGANTOWN, WV 26508-1351
Phone: (304) 225-2500 Fax: (304) 985-6350
Organization Subpart
No
Authorized Official
JOY KIMBALL
CONTRACT MANAGER
Phone: (763) 349-6740
Updated
Certification Date
Apr 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDEXPRESS URGENT CARE - MARTINSBURG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherSTATE LICENSEWV01612
medicaidWV3810021543
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
WV 01612
207P00000X
- Emergency Medicine
WV 01612

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.