PROACTIVE MSO, LLC
NPI 1376319087
Clinic/Center - Primary Care in Michigantown, IN

Active since December 04, 2023
725 N STATE ROAD 29, MICHIGANTOWN, IN 46057(864) 501-0751 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Proactive Mso, Llc NPPES

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

PROACTIVE MSO, LLC (NPI 1376319087), doing business as Clinton Central Satellite Health Center, is a healthcare organization registered as a primary care in Michigantown, Indiana and active in the NPI registry since December 2023. The organization lists Abby Robb Russell, Director Of Implementations, as its authorized official.

NPPES Registry Identity

NPI1376319087
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address725 N STATE ROAD 29Michigantown, IN 46057-9615
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Organization SubpartNo
Authorized OfficialAbby Robb RussellDirector Of Implementations · (864) 900-5687
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1376319087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
725 N STATE ROAD 29, Michigantown, IN 46057

Other Names 1

Doing Business AsClinton Central Satellite Health 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 Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1376319087. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is doing business as Clinton Central Satellite Health Center.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 725 N State Road 29, Michigantown, IN 46057. The listed phone number is (864) 501-0751.

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.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.