REVOLUTION HEALTHCARE LLC NPI 1417694704

NPI Information

NPI: 1417694704
Provider Name: REVOLUTION HEALTHCARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3214 SEMINARY AVE
RICHMOND, VA
ZIP 23227
Phone: (804) 387-2635
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REVOLUTION HEALTHCARE LLC is a primary care clinic center in Richmond, VA. REVOLUTION HEALTHCARE LLC NPI is 1417694704. The provider is registered as an organization entity type.

The provider's business location address is:

3214 SEMINARY AVE
RICHMOND, VA
ZIP 23227-821
Phone: (804) 387-2635

The provider's authorized official is Claiborne Tucker Perdue .
The authorized official title is Owner/manager and has the following contact phone number (804) 387-2635.

The enumeration date for this NPI number is 5/18/2022 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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