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PROACTIVE MD NM LLC NPI 1407500309


NPI Information

NPI: 1407500309
Provider Name: PROACTIVE MD NM, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1100 S SAINT FRANCIS DR STE 1000
SANTA FE, NM
ZIP 87505
Phone: (864) 501-0751
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PROACTIVE MD NM, LLC is a primary care clinic center in Santa Fe, NM. PROACTIVE MD NM, LLC NPI is 1407500309. The provider is registered as an organization entity type.

The provider's business location address is:

1100 S SAINT FRANCIS DR STE 1000
SANTA FE, NM
ZIP 87505-147
Phone: (864) 501-0751

The provider's authorized official is Jan Hopkins .
The authorized official title is Assoc. Ops Mgr and has the following contact phone number (864) 501-0751.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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