Revive Infusion Clinic, LLC
Revive Infusion Clinic, LLC is a healthcare organization registered as Infusion Therapy Clinic/Center in Eagle River, AK, holding Type 2 (organization) NPI 1457226789 since 2025. The authorized official on file is Michael Shannon, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457226789 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Revive Infusion Clinic, LLC |
| Practice address | 19332 WAR ADMIRAL RD, Eagle River, AK, 99577 |
| Phone | 4177933935 |
| Enumeration date | 2025-10-07 |
| Last updated in NPPES | 2025-11-19 |
Authorized official
| Name | Michael Shannon |
|---|---|
| Title | Owner |
| Phone | 4177933935 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Secondary | — | — |
| 261QI0500X | Infusion Therapy Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Revive Infusion Clinic, LLC NPI: 1457226789 Taxonomy: 261QI0500X (Infusion Therapy Clinic/Center) Address: 19332 WAR ADMIRAL RD, Eagle River, AK, 99577
Verify this record
Cross-check NPI 1457226789 against the authoritative CMS record: view Revive Infusion Clinic, LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Revive Infusion Clinic, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-19.