REVOLUTION HEALTH CENTER (REVOLUTION HEALTH CENTER) NPI 1699350827

Clinic/Center in Murfreesboro, TN

NPI 1699350827 Organization Clinic/Center

About REVOLUTION HEALTH CENTER (REVOLUTION HEALTH CENTER)

Revolution Health Center (revolution Health Center) is a provider established in Murfreesboro, Tennessee specializing in clinic/center. The NPI number of Revolution Health Center (revolution Health Center) is 1699350827 and was assigned on March 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Revolution Health Center. The authorized official of this NPI record is Dr. Oscar Manuel Noriega Dc (Owner)

NPI

1699350827

Provider NameREVOLUTION HEALTH CENTER (REVOLUTION HEALTH CENTER)
Provider Location Address546 BRANDIES CIR STE 103 MURFREESBORO, TN 37128
Provider Mailing Address546 BRANDIES CIR STE 103 MURFREESBORO, TN 37128
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameREVOLUTION HEALTH CENTER
Other Name TypeDoing Business As (3)
Enumeration Date03-09-2021
Last Update Date03-14-2021


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA 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).

Business Address

REVOLUTION HEALTH CENTER
546 BRANDIES CIR STE 103
MURFREESBORO, TN
ZIP 37128
Phone: (615) 867-7693
Fax: (615) 867-7695

Get Directions


Mailing Address

REVOLUTION HEALTH CENTER
546 BRANDIES CIR STE 103
MURFREESBORO, TN
ZIP 37128
Phone: (615) 867-7693



Authorized Official

Authorized Official NameDR. OSCAR MANUEL NORIEGA DC
Authorized Official TitleOWNER
Authorized Official Phone(615) 867-7693

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437822913 LATONYA DOWNEY
Individual
Behavior Technician546 BRANDIES CIR STE 103
MURFREESBORO, TN 37128
(615) 461-0212

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.