PROACTIVE - NEW PRAIRIE (NPI# 1275179541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275179541 |
| Entity Type | Organization |
| Organization Name | PROACTIVE - NEW PRAIRIE |
| Practice Address |
605 E Michigan St Rolling Prairie IN 46371-9576 |
| Practice Telephone | 8126451892 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | ASHLEY LOWE (FINANCE MANAGER) |
| Authorized Official Telephone | 8126451892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
605 E MICHIGAN ST |
| City | ROLLING PRAIRIE |
| State | IN |
| Zip Code | 46371-9576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
| 1548546542 | Jeremy J Blosser | Pharmacist | 6317 E 350 N, Rolling Prairie, IN 46371-9469 | 2011-10-23 |
| 1790946879 | Daniel Trujillo | Psychologist | 6659 E 400 N, Rolling Prairie, IN 46371-9650 | 2008-06-20 |
| 1144399569 | Glen Louis Murphy | Psychologist | 3455 E Sundew Dr, Rolling Prairie, IN 46371-9684 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
| 1548546542 | Jeremy J Blosser | Pharmacist | 6317 E 350 N, Rolling Prairie, IN 46371-9469 | 2011-10-23 |
| 1790946879 | Daniel Trujillo | Psychologist | 6659 E 400 N, Rolling Prairie, IN 46371-9650 | 2008-06-20 |
| 1144399569 | Glen Louis Murphy | Psychologist | 3455 E Sundew Dr, Rolling Prairie, IN 46371-9684 | 2006-11-07 |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1093360059 | Activate Healthcare - Waste Away Grp | Clinic/Center | 1621 W Beardsley Ave, Elkhart, IN 46514-1825 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | ROLLING PRAIRIE |
| Zip Code | 46371 |
Please comment or provide details below to improve the information on PROACTIVE - NEW PRAIRIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.