| NPI | 1588109508 |
|---|---|
| Doing Business As | MEDEXPRESS URGENT CARE - LA VISTA, S 84TH ST |
| Entity Type | Organization |
| Authorized Contact | BRETT GALL Director Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2017-05-30 |