Medexpress Urgent Care Minnesota P.C.
Clinic/Center, Urgent Care in Andover, MN. Organization (NPI-2).
NPI number1669904785
StatusActive
Last updated in NPPESJun 1, 2017
Details
- NPI
- 1669904785
- Entity type
- Organization (NPI-2)
- Legal business name
- Medexpress Urgent Care Minnesota P.C.
- Organization subpart
- No
- Enumeration date
- Mar 29, 2017
- Last updated
- Jun 1, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – |
Other names
- Medexpress Urgent Care - Andover, Bunker Lake Blvd Nw (Doing Business As)
Practice location
2134 Bunker Lake Blvd NwSuite 100
Andover, MN 55304-3910
Phone 763-754-4396 · Fax 763-754-9198
Mailing address
1001 Consol Energy DrCanonsburg, PA 15317-6506
Phone 304-225-2500 · Fax 724-743-1133
Authorized official
Brett Gall
Director Payor Contracting
3042252500
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