Fast Pace Kentucky, Pllc | |
757 W Main St Lebanon KY 40033-1838 | |
(270) 972-4186 | |
Not Available |
Full Name | Fast Pace Kentucky, Pllc |
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Speciality | Clinic/Center |
Location | 757 W Main St, Lebanon, Kentucky |
Authorized Official Name and Position | Robert Benson (COO) |
Authorized Official Contact | 9312531110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fast Pace Kentucky, Pllc Po Box 306414 Nashville TN 37230-6414 Ph: () - | Fast Pace Kentucky, Pllc 757 W Main St Lebanon KY 40033-1838 Ph: (270) 972-4186 |
NPI Number | 1396402640 |
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Provider Enumeration Date | 11/22/2021 |
Last Update Date | 11/22/2021 |
Medicare PECOS PAC ID | 0143525998 |
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Medicare Enrollment ID | O20220115000162 |
Identifier | Type | State | Issuer |
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1396402640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 | |
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