Revive Medical LLC

Organization Active
NPI 1669087045
Medical Foods Supplier Bolivar, MO

Revive Medical LLC holds NPI 1669087045, with a primary taxonomy of medical foods supplier and a practice location in Bolivar, MO. The number was issued on September 11, 2020 and the NPPES record was last updated on September 11, 2020. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Foods Supplier Primary 335G00000X Not listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Not listed

Practice location

5000
S Scenic
Bolivar, MO 65613
Phone: (417) 777-0797

Local context

Active NPPES records list 1 provider with medical foods supplier as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 4 in Missouri and 73 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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