FAST PACE MEDICAL CLINIC PLLC NPI 1235639584

NPI Information

  • NPI: 1235639584
  • Provider Name: FAST PACE MEDICAL CLINIC, PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 44D2027385
  • Address: 811 N MAIN ST
    MT PLEASANT, TN
    ZIP 38474
  • Phone: (931) 379-3229

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NPI Details

FAST PACE MEDICAL CLINIC, PLLC is a rural health clinic center in Mt Pleasant, TN. FAST PACE MEDICAL CLINIC, PLLC NPI is 1235639584. The provider is registered as an organization entity type.

The provider's business location address is:

811 N MAIN ST
MT PLEASANT, TN
ZIP 38474-017
Phone: (931) 379-3229

The provider's authorized official is Robert Benson .
The authorized official title is Coo and has the following contact phone number (931) 253-1110.

The CLIA number assigned to this NPI record is 44D2027385 - other - urgent care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 11/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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