1679615306 NPI number — PACE MEDICAL CLINIC, LLC

Table of content: (NPI 1679615306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679615306 NPI number — PACE MEDICAL CLINIC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PACE MEDICAL CLINIC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679615306
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 850
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHTON
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39476-0850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-788-6381
Provider Business Mailing Address Fax Number:
601-788-9716

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 SOUTH FRONT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHTON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-788-6381
Provider Business Practice Location Address Fax Number:
601-788-9716
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PACE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
601-788-6381

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  15454 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01629346 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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