| Proactive Mso, Llc | |
|
9808 S 600 W Union Mills IN 46382-9600 | |
| (574) 935-0127 | |
| Not Available |
| Full Name | Proactive Mso, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9808 S 600 W, Union Mills, Indiana |
| Authorized Official Name and Position | Jan Maria Hopkins (OPERATIONS MANAGER) |
| Authorized Official Contact | 8645010751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Mso, Llc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Mso, Llc 9808 S 600 W Union Mills IN 46382-9600 Ph: (574) 935-0127 |
| NPI Number | 1285359679 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285359679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Proactive - South Central Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9808 S 600 W, Union Mills, IN 46382 Phone: 812-645-1892 |