Hi Jeremy,
Interesting question. My company has been working with urgent care clinics going all the way back to 1999, and over the last 5 years or so we have developed a fair amount of experience with telemedicine. In many cases, we have an individual clinic that already has business listings, and we are just adding on a new service. But I've also worked with a national telemed company that had ties to some local practices who had listings, but they themselves did not as they didn't have a base of operations in each state/city.
In addition , I've worked with some smaller practices that are in between these extremes. These are primarily virtual clinics, but not 100%. They may see some patients in person (more of a concierge model mixed in with the urgent care), or they may just have a home base from which they network, and get a big chunk of their clients from one community where they live. In these cases, there is enough of a local tie to justify a local listing. Also, these are generally newer startups.
So in general, if you are dealing with a business that has a system with docs who are licensed in multiple states, and don't have some real presence in the localities, then listings are not appropriate. But if the doctor has a legitimate tie to and base in a particular community, then a local listing makes sense.
If you have more details about your specific situation, I may be able to give you some additional ideas.
Ira