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Contract Details
Fast Pace Medical Clinic, PPLC
Facility name
FastPace Behavioral Health
Provider ID
P000000001
Tax ID
270851352
Effective Date
3/1/2023
Last Updated
12/10/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
332 Marketplace Circle
Calera, AL 35040
United States
Phone
205-386-2018
(
Phone
)
Billing Details
Address
332 Marketplace Circle
Calera, AL 35040
Billing Phone
205-386-2018
Specialty Type
Counselor - Professional
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