| Proactive MD CF Port Neal Health Center | |
|
1182 260th St Sergeant Bluff IA 51054-7739 | |
| (712) 317-1130 | |
| (833) 307-1861 |
| Full Name | Proactive MD CF Port Neal Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1182 260th St, Sergeant Bluff, Iowa |
| Authorized Official Name and Position | Mark a Kemble (CMO) |
| Authorized Official Contact | 8646408355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive MD CF Port Neal Health Center 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Proactive MD CF Port Neal Health Center 1182 260th St Sergeant Bluff IA 51054-7739 Ph: (712) 317-1130 |
| NPI Number | 1922777465 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922777465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
Live Young Medical LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Gaul Dr, Sergeant Bluff, IA 51054 Phone: 402-681-8662 |