Revive Medical Spa Llc

LBN: Revive Medical Spa Llc
Revive Medical Spa Llc is an health care organization with primary practice located at 1905 Cowles St Ste B , Fairbanks AK 99701-5914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Revive Medical Spa Llc can be contacted via phone (907) 371-1766, or through Priebe, Karolina via phone (907) 371-1766.

Contact Information

Primary practice address
1905 Cowles St Ste B Fairbanks AK 99701-5914
Phone: (907) 371-1766
Fax: (907) 531-7365
Website:
Map and Directions
Authorized official contact:
Name: Priebe, Karolina DNP
Phone: (907) 371-1766

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1467175943
LBN Legal business name Revive Medical Spa Llc
DBA Doing business as
Authorized official Priebe, Karolina DNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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