EXPRESS CARE CLINIC L.L.C.; NPI #1114139722

Contact Information

EXPRESS CARE CLINIC L.L.C.

1455 ROBERT C BYRD DR
CRAB ORCHARD, WV 25827-9441

Phone: 304-255-5533
Fax: 304-929-5533
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Acute Care	363LA2100X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for EXPRESS CARE CLINIC L.L.C.

NPI Number 1114139722

LBN Legal business name EXPRESS CARE CLINIC L.L.C.

Authorized official MARGARET BLACKBURN - (CFNP)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

WV	License #	48923
WV	Medicaid	7104152000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EXPRESS CARE CLINIC L.L.C.

Contact Information

Specialty

Acute Care

NPI Profile & details for EXPRESS CARE CLINIC L.L.C.

Reviews for EXPRESS CARE CLINIC L.L.C.