Fast Pace Medical Clinic Pllc
LBN: Fast Pace Medical Clinic Pllc
Fast Pace Medical Clinic Pllc is an health care organization with primary practice located at 100 E Tennessee St , Collinwood TN 38450. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Fast Pace Medical Clinic Pllc can be contacted via phone (931) 724-9000, or through Bevis, Stanley M via phone (931) 253-1110.
Contact Information
Primary practice address
100 E Tennessee St
Collinwood TN 38450
Phone: (931) 724-9000
Fax: (731) 724-5577
Website:
Authorized official contact:
Name: Bevis, Stanley M Advanced Practice Nurse (APN)
Phone: (931) 253-1110
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Tennessee |
Profile Details
| NPI number | 1134452865 |
|---|---|
| LBN Legal business name | Fast Pace Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Bevis, Stanley M Advanced Practice Nurse (APN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | May 1st, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134452865 | NPPES |
| Tennessee | MEDICAID | 1515574 |
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