| Fast Pace Medical Clinic Pllc | |
|
211 E State Hwy 66 Tell City IN 47586 | |
| (812) 772-4380 | |
| Not Available |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 E State Hwy 66, Tell City, Indiana |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 6159489639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Medical Clinic Pllc Po Box 306417 Nashville TN 37230-6417 Ph: () - | Fast Pace Medical Clinic Pllc 211 E State Hwy 66 Tell City IN 47586 Ph: (812) 772-4380 |
| NPI Number | 1982362299 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 5395881841 |
|---|---|
| Medicare Enrollment ID | O20220118000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982362299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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