| Fast Pace Health | |
|
4005 N College Ave Jackson AL 36545-2024 | |
| (251) 744-6084 | |
| Not Available |
| Full Name | Fast Pace Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4005 N College Ave, Jackson, 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) 253-1110 | Fast Pace Health 4005 N College Ave Jackson AL 36545-2024 Ph: (251) 744-6084 |
| NPI Number | 1033890132 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 5395881841 |
|---|---|
| Medicare Enrollment ID | O20230810002775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033890132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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