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 4152 W State Road , Hanover IN 47243. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, 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) 253-1110, or through Benson, Robert via phone (931) 253-1110.
Contact Information
Primary practice address
4152 W State Road
Hanover IN 47243
Phone: (931) 253-1110
Fax: (931) 722-9919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1649770769 |
|---|---|
| LBN Legal business name | Fast Pace Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Benson, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2018 |
| Last updated | Mar 11th, 2024 - about last year |
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 | 1649770769 | NPPES |
| Indiana | MEDICAID | 300036022 |
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