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Revolutionary Services LLC

Multi-Specialty Clinic/Center in Fort Mohave, AZ · enumerated 2007 · authorized official Allen Stout, Manager.

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

National Provider Identifier

1518082122

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Registry record

Entity type Organization (Type 2)
Legal business name Revolutionary Services LLC
Other name <Unavail>
Practice address 5130 S Highway 95, Fort Mohave, AZ, 86426
Phone (928) 768-2811
Fax (928) 768-9787
Enumeration date Mar 20, 2007
Last updated in NPPES Mar 1, 2024

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License B542 (NV) Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Allen Stout
Title Manager
Phone (928) 768-2811

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.

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Frequently asked questions

Where is Revolutionary Services LLC located?
The practice location on file with NPPES is in Fort Mohave, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-01.