REVOLUTION MEDICAL CENTER, INC
NPI 1710169180
Clinic/Center - Primary Care in Phoenix, AZ

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

The NPI number for Revolution Medical Center, Inc is 1710169180. It was assigned to this organization in the NPPES registry on November 28, 2007.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since November 28, 2007

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

NPPES record last updated: November 28, 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 1710169180) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since November 2007. The organization lists Jesse Sage Haggard, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1710169180

Entity TypeOrganization

Primary Taxonomy261QP2300X

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 SubpartNo

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

Enumeration DateNovember 28, 2007

✔ NPI 1710169180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in AZ · 04836

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

Non-Pharmacy Dispensing Site

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 1710169180. It was assigned to this organization in the NPPES registry on November 28, 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 Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Revolution Medical Center, Inc was last updated on November 28, 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.