Revive Medical Llc

LBN: Revive Medical Llc
Revive Medical Llc is an health care organization with primary practice located at 5000 S Scenic, Bolivar MO 65613. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Medical Foods Supplier. Suppliers / Medical Foods Supplier is the primary health care specialty. Revive Medical Llc can be contacted via phone (417) 777-0797, or through Morrison, Troy via phone (417) 777-0797.

Contact Information

Primary practice address
5000 S Scenic Bolivar MO 65613
Phone: (417) 777-0797
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Troy
Phone: (417) 777-0797

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Medical Foods Supplier 335G00000X

Profile Details

NPI number 1669087045
LBN Legal business name Revive Medical Llc
DBA Doing business as
Authorized official Morrison, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 2020 - about 5 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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