| Fast Pace Health | |
|
1026 Boll Weevil Circle Enterprise AL 36330 | |
| (931) 253-1110 | |
| Not Available |
| Full Name | Fast Pace Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1026 Boll Weevil Circle, Enterprise, Alabama |
| Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9013511791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Health Po Box 306491 Nashville TN 37230-6491 Ph: (931) 256-1110 | Fast Pace Health 1026 Boll Weevil Circle Enterprise AL 36330 Ph: (931) 253-1110 |
| NPI Number | 1265114094 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 5395881841 |
|---|---|
| Medicare Enrollment ID | O20231120000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265114094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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