Organization · Type 2 NPI

Proactive MD Ia PC

Primary Care Clinic/Center · Sergeant Bluff, IA

NPI number 1922777465 Active

Practice location

1182 260th St
Sergeant Bluff, IA 51054-7739

Call (712) 317-1130 Map

Fax (833) 307-1861

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1922777465
Entity type: Organization (Type 2)
Issued: Sep 8, 2021
Last updated: Aug 25, 2026
Status: Active

Other names

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Proactive MD CF Port Neal Health Center · doing business as
Proactive MD CF Port Neal Health Center · doing business as

Authorized official

Mark A Kemble, MD
CMO
(864) 640-8355

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922777465

Proactive MD Ia PC's National Provider Identifier is 1922777465, issued on Sep 8, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Sergeant Bluff, IA. The record was last updated on Aug 25, 2026.