REVOLUTION MEDICAL CENTER, INC
NPI 1376727610
Non-Pharmacy Dispensing Site in Phoenix, AZ

Q: What is Revolution Medical Center, Inc's NPI number?

The NPI number for Revolution Medical Center, Inc is 1376727610. It was assigned to this organization in the NPPES registry on December 21, 2007.

Q: What is Revolution Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since December 21, 2007

2015 E CAMELBACK RD, PHOENIX, AZ 85016(602) 840-4400(602) 840-0490 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revolution Medical Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVOLUTION MEDICAL CENTER, INC (NPI 1376727610) is a healthcare organization registered as a non-pharmacy dispensing site in Phoenix, Arizona and active in the NPI registry since December 2007. The organization lists Jesse Sage Haggard, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1376727610

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameREVOLUTION MEDICAL CENTER, INC

Location Address2015 E CAMELBACK RDPhoenix, AZ 85016-4710

Mailing Address2015 E Camelback RdPhoenix, AZ 85016-4710 · (602) 840-4400 · Fax (602) 840-0490

Phone(602) 840-4400

Fax(602) 840-0490

Organization SubpartYes

Authorized OfficialJesse Sage HaggardClinic Director · (602) 463-7177

Enumeration DateDecember 21, 2007

✔ NPI 1376727610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in AZ · 04836D

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2015 E CAMELBACK RD, Phoenix, AZ 85016

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLA WILLIAMSON

Nurse's Aide

2015 E CAMELBACK RD
PHOENIX, AZ 85016

Maricopa County (602) 840-4400

REVOLUTION MEDICAL CENTER, INC

Clinic/Center (Primary Care)

2015 E CAMELBACK RD
PHOENIX, AZ 85016

Maricopa County (602) 840-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revolution Medical Center, Inc's NPI number?

The NPI number for Revolution Medical Center, Inc is 1376727610. It was assigned to this organization in the NPPES registry on December 21, 2007.

Where is Revolution Medical Center, Inc located?

Revolution Medical Center, Inc is located at 2015 E Camelback Rd, Phoenix, AZ 85016. The listed phone number is (602) 840-4400.

What is Revolution Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Revolution Medical Center, Inc was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.