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Revolution Medical Center, Inc

Primary Care Clinic/Center in Phoenix, AZ · enumerated 2007 · authorized official Jesse Haggard, Clinic Director.

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

National Provider Identifier

1710169180

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Registry record

Entity type Organization (Type 2)
Legal business name Revolution Medical Center, Inc
Practice address 2015 E Camelback Rd, Phoenix, AZ, 85016
Phone (602) 840-4400
Fax (602) 840-0490
Enumeration date Nov 28, 2007
Last updated in NPPES Nov 28, 2007

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 04836 (AZ) Primary

Authorized official

Name Jesse Haggard
Title Clinic Director
Phone (602) 463-7177

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 the NPI number for Revolution Medical Center, Inc?
The NPI for Revolution Medical Center, Inc is 1710169180, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revolution Medical Center, Inc?
NPPES lists Jesse Haggard (Clinic Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-28.