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Contract Details
Fast Pace Medical Clinic, PPLC
Facility name
FastPace Health Urgent Care
Provider ID
P000000001
Tax ID
270851352
Effective Date
3/1/2023
Last Updated
12/19/2023
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1648 Pelham Road South
Jacksonville, AL 36265
United States
Phone
256-365-0455
(
Phone
)
Fax
256-365-0456
Billing Details
Address
1648 Pelham Road South
Jacksonville, AL 36265
Billing Phone
256-365-0455
Specialty Type
Urgent Care Facility
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