Revolution Medical Center, Inc in Phoenix - Non-pharmacy Dispensing Site
Revolution Medical Center, Inc - NPI 1376727610
Revolution Medical Center, Inc is a Non-pharmacy Dispensing Site in Phoenix, Arizona. Revolution Medical Center, Inc practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Revolution Medical Center, Inc is 1376727610. The last update date is 2007-12-21.
Revolution Medical Center, Inc's current location address is 2015 E Camelback Rd, Phoenix, Arizona. You can contact this provider via phone number 6028404400 and fax number 6028400490. The mailing address for Revolution Medical Center, Inc is 2015 E Camelback Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Revolution Medical Center, Inc |
|---|---|
| Address | 2015 E Camelback Rd, Phoenix, Arizona |
| Phone Number | 6028404400 |
| Fax Number | 6028400490 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Haggard Sage Jesse |
| Credentials | N.M.D. |
| Telephone Number | 6024637177 |
NPI Number Detail
| NPI Number | 1376727610 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 2015 E Camelback Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850164710 |
| Phone Number | 6028404400 |
| Fax Number | 6028400490 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 04836D |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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Post Comment/ Review Below
What is the unique identification code assigned to Revolution Medical Center, Inc by the Centers for Medicare & Medicaid Services?
The Revolution Medical Center, Inc has been issued the NPI (National Provider Identifier) 1376727610. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Revolution Medical Center, Inc?
The Revolution Medical Center, Inc is situated at 2015 E Camelback Rd, in the city of Phoenix, state of AZ, with the zip code 850164710.
What is Revolution Medical Center, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Revolution Medical Center, Inc is Non-pharmacy Dispensing Site, and the taxonomy code that classifies this field of practice is 332900000X.
On what date was the 1376727610 assigned to Revolution Medical Center, Inc?
The Revolution Medical Center, Inc was issued its 1376727610 on 2007-12-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Revolution Medical Center, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Revolution Medical Center, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-21.