| Proactive - South Central | |
|
9808 S 600 W Union Mills IN 46382-9600 | |
| (812) 645-1892 | |
| Not Available |
| Full Name | Proactive - South Central |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9808 S 600 W, Union Mills, Indiana |
| Authorized Official Name and Position | Ashley Lowe (FINANCE MANAGER) |
| Authorized Official Contact | 8126451892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive - South Central 9808 S 600 W Union Mills IN 46382-9600 Ph: (812) 645-1892 | Proactive - South Central 9808 S 600 W Union Mills IN 46382-9600 Ph: (812) 645-1892 |
| NPI Number | 1235775503 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235775503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Proactive Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9808 S 600 W, Union Mills, IN 46382 Phone: 574-935-0127 |