Proactive - South Central
Organization Active NPI Primary Care Clinic/Center · Union Mills, IN
NPI 1235775503 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1235775503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- PROACTIVE - SOUTH CENTRAL
- Practice address
- 9808 S 600 W
Union Mills, IN 46382-9600 - Phone
- (812) 645-1892
- NPI assigned
- Nov 21, 2019
- Organization subpart
- No
Authorized official
- Name
- Ashley Lowe
- Title
- Finance Manager
- Phone
- (812) 645-1892
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Proactive - Mase Monticello
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
9808 S 600 W
Union Mills, IN 46382-9600
Mailing address
9808 S 600 W
Union Mills, IN 46382-9600
Phone (812) 645-1892
Other providers in Union Mills, IN
- Zoe E Brooks
- Carrie Jonelle Capehart
- Jennifer Sue Jimenez
- Noble Township Volunteer Fire Department, Inc.
- Roger D Paul
- Proactive Mso, LLC
- South Central Community School Corporation
All providers in Union Mills, IN · Primary Care Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.