REVIVE INFUSION CLINIC, LLC
NPI 1457226789
Clinic/Center - Infusion Therapy in Eagle River, AK

Active since October 07, 2025
19332 WAR ADMIRAL RD, EAGLE RIVER, AK 99577(417) 793-3935 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 19, 2025, Oct 7, 2025 (2 updates tracked since 2025).

About Revive Infusion Clinic, Llc NPPES

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

REVIVE INFUSION CLINIC, LLC (NPI 1457226789) is a healthcare organization registered as an infusion therapy in Eagle River, Alaska and active in the NPI registry since October 2025. The organization lists Michael Joseph Shannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1457226789
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameREVIVE INFUSION CLINIC, LLC
Location Address19332 WAR ADMIRAL RDEagle River, AK 99577-8482
Mailing Address19332 War Admiral RdEagle River, AK 99577-8482 · (417) 793-3935
Organization SubpartNo
Authorized OfficialMichael Joseph ShannonOwner · (417) 793-3935
Enumeration DateOctober 7, 2025
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1457226789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedGeneral PracticeTaxonomy 208D00000X
19332 WAR ADMIRAL RD, Eagle River, AK 99577

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Revive Infusion Clinic, LLC's NPI number?

The NPI number for Revive Infusion Clinic, LLC is 1457226789. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Revive Infusion Clinic, LLC located?

Revive Infusion Clinic, LLC is located at 19332 War Admiral Rd, Eagle River, AK 99577. The listed phone number is (417) 793-3935.

What is Revive Infusion Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Revive Infusion Clinic, LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.