Fast Pace Medical Clinic Pllc | |
25 Bear Pkwy Lincoln AL 35096-6798 | |
(205) 548-4106 | |
(931) 722-9919 |
Full Name | Fast Pace Medical Clinic Pllc |
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Speciality | Clinic/Center |
Location | 25 Bear Pkwy, Lincoln, 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 |
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Fast Pace Medical Clinic Pllc Po Box 306244 Nashville TN 37230-6244 Ph: () - | Fast Pace Medical Clinic Pllc 25 Bear Pkwy Lincoln AL 35096-6798 Ph: (205) 548-4106 |
NPI Number | 1043975345 |
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Provider Enumeration Date | 11/02/2021 |
Last Update Date | 10/25/2022 |
Medicare PECOS PAC ID | 5395881841 |
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Medicare Enrollment ID | O20221121003331 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043975345 | NPI | - | NPPES |
1515574 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Bear Pkwy, Lincoln, AL 35096 Phone: 205-548-4106 | |
Bbh Primary And Specialty Care Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47344 Us Highway 78, Lincoln, AL 35096 Phone: 205-763-7848 Fax: 205-763-7235 |