| Proactive MD Greencastle Health Center | |
|
1001 S Bloomington St Greencastle IN 46135-2292 | |
| (812) 645-1892 | |
| Not Available |
| Full Name | Proactive MD Greencastle Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1001 S Bloomington St, Greencastle, Indiana |
| Authorized Official Name and Position | Mark a Kemble (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8646408355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive MD Greencastle Health Center 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Proactive MD Greencastle Health Center 1001 S Bloomington St Greencastle IN 46135-2292 Ph: (812) 645-1892 |
| NPI Number | 1780137760 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 09/08/2026 |
| Certification Date | 09/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780137760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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