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PROACTIVE MD WV CORPORATION
NPI 1275379810
Clinic/Center - Primary Care in S. Charleston, WV

Active since July 03, 2024
269 STAUNTON AVENUE SW, SUITE 100, S. CHARLESTON, WV 25303(304) 768-0321(864) 990-3834 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Jul 3, 2024 (2 updates tracked since 2024).

About Proactive Md Wv Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE MD WV CORPORATION (NPI 1275379810), doing business as Proactive Md, is a healthcare organization registered as a primary care in S. Charleston, West Virginia and active in the NPI registry since July 2024. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1275379810
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD WV CORPORATION
Location Address269 STAUNTON AVENUE SW, SUITE 100S. Charleston, WV 25303
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0754 · Fax (864) 990-3834
Phone(304) 768-0321
Fax(864) 990-3834
Organization SubpartNo
Authorized OfficialMark KembleCmo · (864) 501-0754
Enumeration DateJuly 3, 2024
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1275379810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
269 STAUNTON AVENUE SW, S. Charleston, WV 25303
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Other Names 2

Doing Business AsProactive Md
Doing Business AsUnion Health And Wellness Center

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 MD Wv Corporation's NPI number?

The NPI number for Proactive MD Wv Corporation is 1275379810. It was assigned to this organization in the NPPES registry on July 3, 2024. The provider is doing business as Proactive MD and Union Health and Wellness Center.

Where is Proactive MD Wv Corporation located?

Proactive MD Wv Corporation is located at 269 Staunton Avenue SW Suite 100, S. Charleston, WV 25303. The listed phone number is (304) 768-0321.

What is Proactive MD Wv Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive MD Wv Corporation was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.