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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROACTIVE MSO, LLC

Active Organization

PROACTIVE MSO, LLC is a Primary Care Clinic organization located in PLYMOUTH, Indiana. NPI 1083250351 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · PLYMOUTH, IN

Registration Details

NPI Number
1083250351
Provider Type
Organization
NPI Issued
Nov 21, 2019 (6.7692270549335 yrs)
Last Updated
Jun 24, 2025

Practice Information

Address
510 W ADAMS ST STE GL30
PLYMOUTH, IN, 465631784
Browse IN providers · Browse ZIP 46563
Phone
8126451892
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.