FAST PACE MISSISSIPPI PLLC NPI 1548929268

NPI Information

  • NPI: 1548929268
  • Provider Name: FAST PACE MISSISSIPPI, PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 44D2158678
  • Address: 1017 W BEACON ST
    PHILADELPHIA, MS
    ZIP 39350
  • Phone: (931) 253-1110

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NPI Details

FAST PACE MISSISSIPPI, PLLC is a rural health clinic center in Philadelphia, MS. FAST PACE MISSISSIPPI, PLLC NPI is 1548929268. The provider is registered as an organization entity type.

The provider's business location address is:

1017 W BEACON ST
PHILADELPHIA, MS
ZIP 39350-218
Phone: (931) 253-1110
Fax: (931) 722-9919

The provider's authorized official is Sydni Clemmons .
The authorized official title is Credentialing Manager and has the following contact phone number (901) 351-1791.

The CLIA number assigned to this NPI record is 44D2158678 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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