Organization
PROACTIVE MSO, LLC
Active
Other names
Municipal Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JODY ADDAIR (CLINICAL OPS PROJECT COORDINATOR)
(864) 501-0751
Entity
Organization
Contact information
Practice address
39 BILLS BLVD, MARTINSVILLE, IN 46151-3354
(765) 558-5850
Mailing address
39 BILLS BLVD, MARTINSVILLE, IN 46151-3354
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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