MEDEXPRESS URGENT CARE - EDEN PRAIRIE, W 78TH ST - NPI 1588025332

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

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About Medexpress Urgent Care - Eden Prairie, W 78th St NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDEXPRESS URGENT CARE - EDEN PRAIRIE, W 78TH ST (NPI 1588025332) is a healthcare organization registered as an urgent care in Eden Prairie, Minnesota and active in the NPI registry since March 2016. The organization lists Tim Bugin, Vp Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1588025332

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameMEDEXPRESS URGENT CARE MINNESOTA P.C.

Location Address16490 W 78TH STEden Prairie, MN 55346-4300

Mailing Address1001 Consol Energy DrCanonsburg, PA 15317-6506 · (304) 225-2500 · Fax (724) 743-1133

Phone(952) 934-5332

Fax(952) 934-2647

Organization SubpartNo

Authorized OfficialTim BuginVp Payor Contracting · (304) 225-2500

Enumeration DateMarch 8, 2016

Last NPPES UpdateNovember 4, 20165 updates tracked since enumeration

✔ NPI 1588025332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

Also ListedEmergency MedicineTaxonomy 207P00000X

16490 W 78TH ST, Eden Prairie, MN 55346

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Other Names 1

Doing Business AsMedexpress Urgent Care - Eden Prairie, W 78th St

Other Identifiers 3

Medicaid1588025332MN

Medicare NSC7558580001MN

Medicare PINH100293546MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDYACE A DUNN FNP-C

Nurse Practitioner (Family)