Revolution Medical Center, Inc

LBN: Revolution Medical Center, Inc
Revolution Medical Center, Inc is an health care organization with primary practice located at 2015 E Camelback Rd , Phoenix AZ 85016-4710. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Revolution Medical Center, Inc can be contacted via phone (602) 840-4400, or through Haggard, Jesse Sage via phone (602) 463-7177.

Contact Information

Primary practice address
2015 E Camelback Rd Phoenix AZ 85016-4710
Fax: (602) 840-0490
Website:
Authorized official contact:
Name: Haggard, Jesse Sage N.M.D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 04836 Arizona

Profile Details

NPI number 1710169180
LBN Legal business name Revolution Medical Center, Inc
DBA Doing business as
Authorized official Haggard, Jesse Sage N.M.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 2007 - about 17 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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