Provider Demographics
NPI:1205340494
Name:HEALTH EXPRESS URGENT CARE PLLC
Entity type:Organization
Organization Name:HEALTH EXPRESS URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YUMANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-887-1352
Mailing Address - Street 1:94 DOG PATCH TRADING CENTER
Mailing Address - Street 2:SUITE-2
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-0000
Mailing Address - Country:US
Mailing Address - Phone:606-877-1352
Mailing Address - Fax:606-877-1356
Practice Address - Street 1:94 DOG PATCH TRADING CENTER
Practice Address - Street 2:SUITE-2
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-0000
Practice Address - Country:US
Practice Address - Phone:606-877-1352
Practice Address - Fax:606-877-1356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LF0000X, 207RG0300X
KY1000633261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty