MEDEXPRESS URGENT CARE ARKANSAS, P.A. (NPI# 1376964056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376964056 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE ARKANSAS, P.A. |
| Other Organization Name | MEDEXPRESS URGENT CARE - BENTONVILLE, SE WALTON BLVD |
| Practice Address |
1005 Se Walton Blvd Bentonville AR 72712-6775 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 4792546734 |
| Practice Fax Number | 4792546836 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | MR. TIM BUGIN (VP OF PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Bentonville, SE Walton Blvd | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154784882 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5510 S Olive Street, Pine Bluff, AR 71603-7607 | 2016-03-31 |
| 1306216932 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 5505 John F Kennedy Blvd, North Little Rock, AR 72116-6707 | 2015-09-25 |
| 1154718567 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 3426 Central Avenue, Hot Springs, AR 71913-6277 | 2015-04-23 |
| 1790174878 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 1501 Military Road, Benton, AR 72015-2914 | 2015-01-13 |
| 1750779658 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 1900 W Walnut St, Rogers, AR 72756-3367 | 2014-12-30 |
| 1578984357 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 2890 N College Ave, Fayetteville, AR 72703-3412 | 2013-12-23 |
| 1407227739 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 1850 W Main St, Suite A, Cabot, AR 72023-2745 | 2015-10-13 |
| 1922488014 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 305 Highway 62 E, Mountain Home, AR 72653-3655 | 2015-06-03 |
| 1184010100 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 12300 Chenal Pkwy, Little Rock, AR 72211-2724 | 2015-04-07 |
| 1659769529 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 511 W Main St, Russellville, AR 72801-3601 | 2014-12-31 |
| Street Address |
1005 SE WALTON BLVD |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-6775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1407359888 | Ozark Urgent Care and Family Practice LLC | Clinic/Center | 1997 Batesville Blvd, Batesville, AR 72501-7250 | 2018-03-13 |
| 1790291797 | Urgent Care Associates LLC | Clinic/Center | 50 Highway 79 N, Magnolia, AR 71753-3265 | 2017-12-28 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1932516887 | Healthcare Express, LLP | Clinic/Center | 11819 Maumelle Blvd., North Little Rock, AR 72113 | 2014-07-11 |
| 1861829699 | Compass Healthcare, LLC | Clinic/Center | 2606 Pine St, Arkadelphia, AR 71923-4204 | 2013-10-13 |
| 1831436286 | Velocity Care Arkansas Pllc | Clinic/Center | 11600 Chenal Pkwy, Little Rock, AR 72211-3744 | 2013-01-04 |
| 1346599883 | Van Buren Hma, LLC | Clinic/Center | 14 Gothic Ridge Road, Van Buren, AR 72956-6565 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.