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

PROACTIVE MD WV CORPORATION

Active Organization

PROACTIVE MD WV CORPORATION is a Primary Care Clinic organization located in S. CHARLESTON, West Virginia. NPI 1275379810 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · S. CHARLESTON, WV

Registration Details

NPI Number
1275379810
Provider Type
Organization
NPI Issued
Jul 3, 2024 (2.1528905634069 yrs)
Last Updated
Apr 3, 2025

Practice Information

Address
269 STAUNTON AVENUE SW
SUITE 100
S. CHARLESTON, WV, 25303
Browse WV providers · Browse ZIP 25303
Phone
3047680321
Fax
8649903834
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.