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OrganizationActive

Pro Active Advantage, Llc

Community/Behavioral Health

PAT MARECKI
NPI: 1407253669Gooding, Idaho, 83330(208) 934-5880

About Pro Active Advantage, Llc

Pro Active Advantage, Llc is a healthcare organization providing Community/Behavioral Health services, registered under National Provider Identifier (NPI) number 1407253669. The authorized official for Pro Active Advantage, Llc is PAT MARECKI.

The organization is headquartered at 215 UNIVERSITY DR, Gooding, Idaho 83330. The main office can be reached at (208) 934-5880. Pro Active Advantage, Llc has been NPI-registered since 2014.

Locations & Contact

Primary Location

Address
215 UNIVERSITY DR
City
Gooding
State
Idaho
ZIP
83330-6155
Phone
(208) 934-5880
Fax
(208) 934-5876
View on Google Maps

Authorized Official

Name
PAT MARECKI

Mailing Address

Address
562 SHOUP AVE W
City
TWIN FALLS
State
ID
ZIP
833015029

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Community/Behavioral Health
Classification
Community/Behavioral Health
Taxonomy Code
251S00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Pro Active Advantage, Llc's NPI number?
Pro Active Advantage, Llc's National Provider Identifier (NPI) is 1407253669. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Pro Active Advantage, Llc specialize in?
Pro Active Advantage, Llc specializes in Community/Behavioral Health.
Where is Pro Active Advantage, Llc located?
Pro Active Advantage, Llc practices at 215 UNIVERSITY DR, Gooding, Idaho 83330. You can reach them by phone at (208) 934-5880.
Does Pro Active Advantage, Llc accept Medicare?
Based on available data, Pro Active Advantage, Llc is not currently enrolled in the Medicare program.
Does Pro Active Advantage, Llc offer telehealth or virtual visits?
Pro Active Advantage, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Pro Active Advantage, Llc holds NPI 1407253669, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.