Basic Information
| Provider Information | |||||||||
| NPI: | 1356743025 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEDEXPRESS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 MCCLELLANDTOWN RD | ||||||||
| Address2: | |||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15401 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 325 MCCLELLANDTOWN RD | ||||||||
| Address2: | |||||||||
| City: | UNIONTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244393627 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2014 | ||||||||
| LastUpdateDate: | 09/24/2014 | ||||||||
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| AuthorizedOfficialLastName: | HENNESSEY | ||||||||
| AuthorizedOfficialFirstName: | ALLISON | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 3049856153 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | MA057166 | PA | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.