REVAMED CLEWISTON
NPI 1811789696
Clinic/Center - Rural Health in Clewiston, FL

Active since May 19, 2025
406 S DEANE DUFF AVE, CLEWISTON, FL 33440(863) 983-5453 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rural Health

About REVAMED CLEWISTON

This page provides the complete NPI Profile along with additional information for Revamed Clewiston, a primary care provider established in Clewiston, Florida operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1811789696 assigned on May 2025. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Nathalie Bastien-montpeirous M.d. (Medical Director)

NPI
1811789696 Verify this NPI
Provider Name
REVAMED CLEWISTON
Entity Type
Organization
Location Address
406 S DEANE DUFF AVE CLEWISTON, FL 33440
Location Phone
(863) 983-5453
Mailing Address
406 S DEANE DUFF AVE CLEWISTON, FL 33440
Mailing Phone
(863) 983-5453
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2025
Last Update Date
05-19-2025
Code Navigator

A primary care provider (PCP) like Revamed Clewiston sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NATHALIE BASTIEN-MONTPEIROUS M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(863) 983-5453

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1598062630OTHER (01)NPI
013400900MEDICAID (05)FL 

Reviews for REVAMED CLEWISTON

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
406 S DEANE DUFF AVE
CLEWISTON, FL 33440
Internal Medicine
406 S DEANE DUFF AVE
CLEWISTON, FL 33440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811789696, enumerated as an "organization" on May 19, 2025.

The provider is located at 406 S DEANE DUFF AVE CLEWISTON, FL 33440 and the phone number is (863) 983-5453.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.