Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

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: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 8, 2026, Dec 4, 2023 (2 updates tracked since 2023).

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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 Mark A Kemble, Chief Medical Officer, 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 Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355

Phone(864) 501-0751

Organization SubpartNo

Authorized OfficialMark A KembleChief Medical Officer · (864) 640-8355

Enumeration DateDecember 4, 2023

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ 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

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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 September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.