FAST PACE MEDICAL CLINIC PLLC
Complete NPI Record 1982362299
Clinic/Center - Rural Health in Tell City, IN
Active since December 03, 2021CLIA Certified · 3 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Fast Pace Medical Clinic Pllc (NPI 1982362299), a clinic/center organization in Tell City, IN. All 25 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1982362299 Field 1/25
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/25
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/25
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: FAST PACE MEDICAL CLINIC PLLC Field 4/25
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 306417 Field 5/25
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: NASHVILLE Field 6/25
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TN Field 7/25
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 372306417 Field 8/25
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/25
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 211 E STATE HWY 66 Field 10/25
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: TELL CITY Field 11/25
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: IN Field 12/25
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 47586 Field 13/25
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 14/25
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8127724380 Field 15/25
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: HARLAN Field 18/25
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: MELISSA Field 19/25
- The first name of the authorized official.
- Authorized Official Title or Position: DIRECTOR CREDENTIALING & ENROLLMENT Field 20/25
- The title or position of the authorized official.
- Authorized Official Telephone Number: 6159489639 Field 21/25
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QR1300X Field 22/25
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 23/25
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 24/25
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 20
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
293 Grand Valley Blvd
Location 1/20Martinsville, IN 46151-6910 · Phone (765) 516-6600
1764 E State Road 163
Location 2/20Clinton, IN 47842-7327 · Phone (765) 820-2120
1301 E National Hwy
Location 3/20Washington, IN 47501-4163 · Phone (812) 674-5372
2701 N 6th St
Location 4/20Vincennes, IN 47591-3624 · Phone (812) 790-2086
3 N Manatee St
Location 5/20Brazil, IN 47834-1513 · Phone (812) 531-1127
1569 A St NE
Location 6/20Linton, IN 47441-1607 · Phone (812) 846-3380
3704 N Opportunity Dr
Location 7/20Connersville, IN 47331-1017 · Phone (765) 377-1300
1011 Indianapolis Rd
Location 8/20Greencastle, IN 46135-1455 · Phone (765) 630-6406
2008 N Walnut St
Location 9/20Hartford City, IN 47348-1364 · Phone (765) 329-6662
1732 W North St
Location 10/20Kendallville, IN 46755-2850 · Phone (260) 544-8054
3727 E Market St
Location 11/20Logansport, IN 46947-4589 · Phone (574) 727-2114
3719 S Western Ave
Location 12/20Marion, IN 46953-4828 · Phone (765) 293-8485
1312 E Hackberry St
Location 13/20Salem, IN 47167-9604 · Phone (812) 286-0126
1778 E State Road 44
Location 14/20Shelbyville, IN 46176-1846 · Phone (463) 235-3043
2070 N State Highway 3
Location 15/20North Vernon, IN 47265-7117 · Phone (812) 772-4380
811 W Main St
Location 16/20Peru, IN 46970-1742 · Phone (765) 470-4076
980 N Meridian St
Location 17/20Portland, IN 47371-1129 · Phone (260) 703-3312
2717 W Broadway St
Location 18/20Princeton, IN 47670-9420 · Phone (812) 635-2036
392 Rochester Crossing Dr
Location 19/20Rochester, IN 46975-7034 · Phone (574) 325-5912
1115 E Main St
Location 20/20Attica, IN 47918-1945 · Phone (765) 764-0085
No registry entries match your active lookup criteria.
