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Proactive MD Ia PC — NPI 1922777465, Sergeant Bluff, IA | NPI Central

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NPI 1922777465

OrganizationActive

Proactive MD Ia PC

NPI 1922777465 · Primary Care Clinic/Center · Sergeant Bluff, IA

Provider details

NPI number: 1922777465
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Mark Kemble, Cmo(864) 501-0751

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Practice location

1182 260th St

Sergeant Bluff, IA 51054-7739

Phone: (712) 317-1130

Approximate (ZIP-level) locationGet directions

More IA providers

Mailing address

10 Centimeters Dr

Mauldin, SC 29662-3278

Other names (DBA / former)

Doing business as: Proactive MD Cf Port Neal Health Center
Doing business as: Proactive MD Cf Port Neal Health Center

Registry dates

Enumerated: 2021-09-08
Last updated: 2025-04-10
Certified: 2025-04-10

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