Revive Medical Center Llc

LBN: Revive Medical Center Llc
Revive Medical Center Llc is an health care organization with primary practice located at 1728 11Th Ave , Haleyville AL 35565-1506. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Revive Medical Center Llc can be contacted via phone (205) 485-7822, or through Pickens, Larry Jake via phone (205) 485-7822.

Contact Information

Primary practice address
1728 11Th Ave Haleyville AL 35565-1506
Phone: (205) 485-7822
Fax: (260) 399-4004
Website:
Map and Directions
Authorized official contact:
Name: Pickens, Larry Jake
Phone: (205) 485-7822

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1740996636
LBN Legal business name Revive Medical Center Llc
DBA Doing business as
Authorized official Pickens, Larry Jake
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2023
Last updated Feb 22nd, 2023 - about 2 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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