| Proactive MD Mase Monticello Health Center | |
|
303 N Main St Monticello IN 47960-2134 | |
| (574) 297-5527 | |
| Not Available |
| Full Name | Proactive MD Mase Monticello Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 303 N Main St, Monticello, Indiana |
| 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 Mase Monticello Health Center 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Proactive MD Mase Monticello Health Center 303 N Main St Monticello IN 47960-2134 Ph: (574) 297-5527 |
| NPI Number | 1366169237 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366169237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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