Proactive Mso, LLC
Clinic/Center, Primary Care in Terre Haute, IN. Organization (NPI-2).
NPI number1457078321
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1457078321
- Entity type
- Organization (NPI-2)
- Legal business name
- Proactive Mso, LLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2022
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Proactive MD Vigo County Schools Health Center (Doing Business As)
Practice location
3250 Maple AveTerre Haute, IN 47804-1727
Phone 812-462-5799
Mailing address
124 Allawood CtSimpsonville, SC 29681-6207
Phone 864-501-0751
Authorized official
Jan Maria Hopkins
Operations Manager
8645010751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Primary Care Clinic/Center providers in Terre Haute, IN
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All 5 Primary Care Clinic/Center providers in Terre Haute · All 2,936 providers in Terre Haute
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