# FAST PACE MEDICAL CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982362299
- **Authorized official:** MELISSA HARLAN (DIRECTOR CREDENTIALING & ENROLLMENT)
- **Authorized official phone:** (615) 948-9639

## Contact information

- **Practice address:** 211 E STATE HWY 66, TELL CITY, IN 47586
- **Practice address phone:** (812) 772-4380
- **Mailing address:** PO BOX 306417, NASHVILLE, TN 37230-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2021
- **Last updated:** 11/07/2024