| Proactive MD New Prairie Health Center | |
|
5325 N Cougar Rd New Carlisle IN 46552-9505 | |
| (864) 501-0751 | |
| Not Available |
| Full Name | Proactive MD New Prairie Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5325 N Cougar Rd, New Carlisle, 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 New Prairie Health Center 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Proactive MD New Prairie Health Center 5325 N Cougar Rd New Carlisle IN 46552-9505 Ph: (864) 501-0751 |
| NPI Number | 1275179541 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275179541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
New Carlisle Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8988 E Us Highway 20, New Carlisle, IN 46552 Phone: 574-654-7779 Fax: 574-654-7780 |