Revive Medical Care

LBN: Revive Medical Care
Revive Medical Care is an health care organization with primary practice located at 108 E Western Ave , Goodyear AZ 85338-1431. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Revive Medical Care can be contacted via phone (480) 549-8865, or through Arvizo, Jesus R via phone (480) 549-8865.

Contact Information

Primary practice address
108 E Western Ave Goodyear AZ 85338-1431
Phone: (480) 549-8865
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Arvizo, Jesus R FNP-C
Phone: (480) 549-8865

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1710668496
LBN Legal business name Revive Medical Care
DBA Doing business as
Authorized official Arvizo, Jesus R FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2023
Last updated Feb 28th, 2024 - about 10 months 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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