REVIVE HEALTH SPA LLC
NPI 1487573879
Clinic/Center in Bolivar, MO
NPI Status: Active since July 10, 2026
Contact Information
107 N MAIN AVE
BOLIVAR, MO
ZIP 65613
Phone: (417) 680-7060
Fax: (800) 828-7117
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Clinic/Center
About REVIVE HEALTH SPA LLC
This page provides the complete NPI Profile along with additional information for Revive Health Spa Llc, a provider established in Bolivar, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1487573879 assigned on July 2026. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated July 2026. The authorized official of this NPI record is Shelby Bailey Np (Owner)
- NPI
- 1487573879
- Provider Name
- REVIVE HEALTH SPA LLC
- Entity Type
- Organization
- Location Address
- 107 N MAIN AVE BOLIVAR, MO 65613
- Location Phone
- (417) 680-7060
- Location Fax
- (800) 828-7117
- Mailing Address
- 107 N MAIN AVE BOLIVAR, MO 65613
- Mailing Phone
- (417) 680-7060
- Mailing Fax
- (800) 828-7117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2026
- Last Update Date
- 07-10-2026
- Code Navigator
Location Map
Secondary Locations
- 871 US Highway 60 E
Republic, MO 65738
(417) 298-6908
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487573879, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487573879, enumerated as an "organization" on July 10, 2026.
The provider is located at 107 N MAIN AVE BOLIVAR, MO 65613 and the phone number is (417) 680-7060.
Clinic/Center with taxonomy code 261Q00000X.
