DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PROACTIVE MSO, LLC

MEDICARE: PROACTIVE MSO, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1649913492
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROACTIVE MSO, LLC
Provider Business Mailing Address
First Line : 124 ALLAWOOD CT
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29681-6207
Country : US
Telephone Number : 864-501-0751
Fax Number :
Provider Business Practice Location Address
First Line : 1615 S US HIGHWAY 231
Second Line :
City : CRAWFORDSVILLE
State : IN
Zip : 47933-9421
Country : US
Telephone Number : 765-323-4689
Fax Number :
Authorized Official
Title or Position : ASSOC. OPS MGR
Name : JAN HOPKINS
Credential :
Telephone Number : 864-501-0751
Provider Enumeration Date : 04/19/2022
Last Update Date : 04/19/2022

Similar Medicare Providers

1598853129 — MRS. TAMMERA L PARK P.A.-C
Practice Location Address:
1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
47933-9421
Practice Phone: 765-307-7146
Practice Fax: 833-464-2510
1053732008 — URGENT CARE PHYSICIANS PC
Practice Location Address:
1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
47933-9421
Practice Phone: 765-307-7146
Practice Fax: 765-307-7260
1952774762 — KRISTINA REYNOLDS
Practice Location Address:
1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
47933-9421
Practice Phone: 765-307-7146
Practice Fax: 765-307-7146
1467968040 — MISS THEMBELANI DUBE FNP-C
Practice Location Address:
1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
47933-9421
Practice Phone: 765-307-7146
Practice Fax:
1851890370 — MAYDIA FACEY FNP
Practice Location Address:
1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
47933-9421
Practice Phone: 765-307-7146
Practice Fax:
1033682588 — ANGELA FRANTSI NP
Practice Location Address:
1641 S US HIGHWAY 231
CRAWFORDSVILLE, IN
47933-9421
Practice Phone: 765-307-7146
Practice Fax:

Directions to “PROACTIVE MSO, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.