PROACTIVE MD CRAWFORDSVILLE CHAMBER HEALTH CENTER
NPI 1174169908
Clinic/Center - Primary Care in Crawfordsville, IN
About Proactive Md Crawfordsville Chamber Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIVE MD CRAWFORDSVILLE CHAMBER HEALTH CENTER (NPI 1174169908) is a healthcare organization registered as a primary care in Crawfordsville, Indiana and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2091878
Proactive MD - Crawfordsville · Crawfordsville, INOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRAWFORDSVILLE, IN 47933
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Proactive Mso, LLC's NPI number?
The NPI number for Proactive Mso, LLC is 1174169908. It was assigned to this organization in the NPPES registry on November 27, 2019. The provider is doing business as Proactive MD Crawfordsville Chamber Health Center and Proactive MD.
Where is Proactive Mso, LLC located?
Proactive Mso, LLC is located at 1720 Lafayette Rd Ste A, Crawfordsville, IN 47933. The listed phone number is (812) 645-1945.
What is Proactive Mso, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Proactive Mso, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2091878) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Proactive Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Proactive Md Crawfordsville Chamber Health Center · NPI 1174169908
Primary Care organization in Crawfordsville, Indiana. Organization record, active in the CMS NPPES registry since November 27, 2019.
## Identity
- **NPI:** 1174169908 (Entity type: Organization)
- **Enumerated:** November 27, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Proactive Mso, Llc
- **Also known as:** Proactive MD (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jan Hopkins, ASSOC. OPS MGR
## Practice location
- **Address:** 1720 LAFAYETTE RD STE A, Crawfordsville, IN 47933-4603
- **Phone:** (812) 645-1945
## Record status
- **NPPES last updated:** March 25, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174169908) · Data from the CMS NPPES public registry.