| NPI | 1265197545 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-11-02 |
| Last Updated | 2021-11-02 |
| Authorized Official | Robert Benson COO Phone: 9312531110 |
| Mailing Address | Po Box 306244 Nashville, TN 37230-6244 United States 📍 View Map |
| Primary Practice Address | 402 S Broad St New Tazewell, TN 37825-7239 United States Phone: (423) 919-8244 | Fax: (423) 919-8245 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 1515574 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QR1300X – Clinic/Center, Rural Health | - | - |
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About NPI 1265197545
Fast Pace Medical Clinic Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265197545. The primary specialty listed is Clinic/Center, Rural Health. The organization is located in New Tazewell, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-11-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265197545?
NPI 1265197545 belongs to Fast Pace Medical Clinic Pllc, a Clinic/Center, Rural Health in New Tazewell, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265197545 active?
The current status of NPI 1265197545 in the NPPES registry is Active. The record was last updated on 2021-11-02.
What specialty is NPI 1265197545?
NPI 1265197545 is classified under the taxonomy Clinic/Center, Rural Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265197545?
You can verify NPI 1265197545 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265197545?
The primary practice address on file for NPI 1265197545 is 402 S Broad St, New Tazewell, TN 37825-7239. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265197545 issued?
NPI 1265197545 was first issued (enumerated) on 2021-11-02. The NPPES record was last updated on 2021-11-02.
Practice Location Map
Fast Pace Medical Clinic Pllc is located at 402 S Broad St, New Tazewell, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fast Pace Medical Clinic Pllc. All records sourced from the CMS NPPES registry.