Revolution Medical Center, Inc

LBN: Revolution Medical Center, Inc
Revolution Medical Center, Inc is an health care organization with primary practice located at 2015 E Camelback Rd , Phoenix AZ 85016-4710. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Revolution Medical Center, Inc can be contacted via phone (602) 840-4400, or through Haggard, Jesse Sage via phone (602) 463-7177.

Contact Information

Primary practice address
2015 E Camelback Rd Phoenix AZ 85016-4710
Phone: (602) 840-4400
Fax: (602) 840-0490
Website:
Map and Directions
Authorized official contact:
Name: Haggard, Jesse Sage N.M.D.
Phone: (602) 463-7177

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 04836D Arizona

Profile Details

NPI number 1376727610
LBN Legal business name Revolution Medical Center, Inc
DBA Doing business as
Authorized official Haggard, Jesse Sage N.M.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2007
Last updated Dec 21st, 2007 - about 19 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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