Revive Medical Group Llc

LBN: Revive Medical Group Llc
Revive Medical Group Llc is an health care organization with primary practice located at 7150 Madison Ave , Indianapolis IN 46227-5269. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Revive Medical Group Llc can be contacted via phone (317) 343-0334, or through Calvert, Kevin via phone (317) 501-6826.

Contact Information

Primary practice address
7150 Madison Ave Indianapolis IN 46227-5269
Phone: (317) 343-0334
Fax: (317) 348-3262
Website:
Map and Directions
Authorized official contact:
Name: Calvert, Kevin
Phone: (317) 501-6826

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1457985137
LBN Legal business name Revive Medical Group Llc
DBA Doing business as
Authorized official Calvert, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Oct 4th, 2021 - about 3 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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