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FAST PACE MEDICAL CLINIC PLLC NPI 1942965306


NPI Information

NPI: 1942965306
Provider Name: FAST PACE MEDICAL CLINIC PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D2218074

Address:
2731 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL
ZIP 35023
Phone: (205) 548-4102
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FAST PACE MEDICAL CLINIC PLLC is a family medicine in Hueytown, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAST PACE MEDICAL CLINIC PLLC NPI is 1942965306. The provider is registered as an organization entity type.

The provider's business location address is:

2731 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL
ZIP 35023-854
Phone: (205) 548-4102
Fax: (205) 548-4103

The provider's authorized official is Sydni Clemmons .
The authorized official title is Credentialing Manager and has the following contact phone number (931) 253-1110.

The CLIA number assigned to this NPI record is 44D2218074 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 9/19/2022.


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 HealthNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12996OTHERALABAMACAID

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.