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Contact Information

FAST PACE MEDICAL CLINIC PLLC
4300 MAIN ST
JASPER, TN37347-3438
 Phone: 423-651-1696
 Fax: 423-651-1697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for FAST PACE MEDICAL CLINIC PLLC

NPI Number 1881359255
LBN Legal business name FAST PACE MEDICAL CLINIC PLLC
Authorized official ROBERT BENSON - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2021
Last updated 11/01/2021 - About 5 years ago
Identifiers
TN Medicaid 1515574
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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