NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Revival Health and Wellness Clinic

Family Medicine Physician in Salem, IL · enumerated 2025 · authorized official Crea Rose, Owner/ Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366241507

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Revival Health and Wellness Clinic
Practice address 207 E Main St, Salem, IL, 62881
Phone (706) 889-8349
Enumeration date Mar 11, 2025
Last updated in NPPES Jun 27, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Crea Rose
Title Owner/ Provider
Phone (706) 889-8349

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Revival Health and Wellness Clinic?
NPPES lists Crea Rose (Owner/ Provider) as the authorized official for this organization.
What is the NPI number for Revival Health and Wellness Clinic?
The NPI for Revival Health and Wellness Clinic is 1366241507, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-27.