STOUT WELLNESS CENTER
NPI 1598092082
Clinic/Center - Multi-Specialty in Fort Mohave, AZ

Active since November 04, 2009
5130 HWY 95, FORT MOHAVE, AZ 86426(928) 768-2811(928) 768-9787 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stout Wellness Center NPPES

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

STOUT WELLNESS CENTER (NPI 1598092082) is a healthcare organization registered as a multi-specialty in Fort Mohave, Arizona and active in the NPI registry since November 2009. The organization lists Allen Earl Stout, Manager, as its authorized official.

NPPES Registry Identity

NPI1598092082
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVOLUTIONARY SERVICES LLC
Location Address5130 HWY 95Fort Mohave, AZ 86426-9374
Mailing Address5130 Hwy 95Fort Mohave, AZ 86426-9374 · (928) 768-2811 · Fax (928) 768-9787
Fax(928) 768-9787
Organization SubpartNo
Authorized OfficialAllen Earl StoutManager · (928) 768-2811
Enumeration DateNovember 4, 2009
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
NPI 1598092082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X · License 7353 (AZ)
5130 HWY 95, Fort Mohave, AZ 86426

Other Names 1

Doing Business AsStout Wellness Center

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

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation (Pain Medicine)
5130 HWY 95
FORT MOHAVE, AZ 86426

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 Revolutionary Services LLC's NPI number?

The NPI number for Revolutionary Services LLC is 1598092082. It was assigned to this organization in the NPPES registry on November 4, 2009. The provider is doing business as Stout Wellness Center.

Where is Revolutionary Services LLC located?

Revolutionary Services LLC is located at 5130 Hwy 95, Fort Mohave, AZ 86426. The listed phone number is (928) 768-2811.

What is Revolutionary Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Revolutionary Services LLC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.