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Revolutionary Services LLC

Multi-Specialty Clinic/Center in Fort Mohave, AZ · enumerated 2009 · authorized official Allen Stout, Manager.

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

National Provider Identifier

1598092082

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Registry record

Entity type Organization (Type 2)
Legal business name Revolutionary Services LLC
Other name <Unavail>
Practice address 5130 Hwy 95, Fort Mohave, AZ, 86426
Phone (928) 768-2811
Fax (928) 768-9787
Enumeration date Nov 4, 2009
Last updated in NPPES Mar 1, 2024

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 7353 (AZ) 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Revolutionary Services LLC?
Revolutionary Services LLC is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

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