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Proactive MD Nm, LLC — NPI 1407500309, Santa Fe, NM | NPI Central

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NPI 1407500309

OrganizationActive

Proactive MD Nm, LLC

NPI 1407500309 · Primary Care Clinic/Center · Santa Fe, NM

Provider details

NPI number: 1407500309
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jan Hopkins, Assoc. Ops Mgr(864) 501-0751

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Practice location

1100 S Saint Francis Dr Ste 1000

Santa Fe, NM 87505-4147

Phone: (864) 501-0751

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

124 Allawood Ct.

Simpsonville, SC 29681

Other names (DBA / former)

Doing business as: Proactive MD Sonm Santa Fe Health Center

Registry dates

Enumerated: 2022-02-09
Last updated: 2022-02-09
Certified: 2022-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.