FAST PACE MEDICAL CLINIC PLLC – NPI #1649770769
Family Medicine

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 is a provider located in HANOVER, IN. NPPES has assigned the NPI number 1649770769 to FAST PACE MEDICAL CLINIC PLLC on February 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Mar 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAST PACE MEDICAL CLINIC PLLC below.

NPI Profile for
FAST PACE MEDICAL CLINIC PLLC

NPI Number
1649770769
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAST PACE MEDICAL CLINIC PLLC
Primary location
4152 W STATE ROAD
HANOVER, IN 47243
Phone: (931) 253-1110 Fax: (931) 722-9919
Mailing address
PO BOX 1258
WAYNESBORO, TN 38485-1258
Phone: (931) 253-1110 Fax: (931) 722-9919
Organization Subpart
No
Authorized Official
ROBERT BENSON
COO
Phone: (931) 253-1110
Updated
Certification Date
Mar 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAST PACE MEDICAL CLINIC PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIN300036022
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QU0200X
- Clinic/Center / Urgent Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.