Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVE MEDICAL LLC
Active OrganizationMedical Foods Supplier · BOLIVAR, MO
Registration Details
- NPI Number
- 1669087045
- Provider Type
- Organization
- NPI Issued
- Sep 11, 2020 (5.6114408487099 yrs)
- Last Updated
- Sep 11, 2020
Practice Information
- Address
-
5000S SCENICBOLIVAR, MO, 65613Browse MO providers · Browse ZIP 65613
- Phone
- 4177770797
- Primary Specialty
-
Medical Foods Supplier
335G00000X
- Additional Specialty
- Medical Foods Supplier
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.