| Revolutio LLC | |
|
48 E Beaver Creek Blvd Avon CO 81620-7489 | |
| (970) 446-1876 | |
| Not Available |
| Full Name | Revolutio LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 48 E Beaver Creek Blvd, Avon, Colorado |
| Authorized Official Name and Position | Dustin Straight (FOUNDER) |
| Authorized Official Contact | 4802325217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolutio LLC Po Box 2646 Edwards CO 81632-2646 Ph: (480) 232-5217 | Revolutio LLC 48 E Beaver Creek Blvd Avon CO 81620-7489 Ph: (970) 446-1876 |
| NPI Number | 1477385904 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477385904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
Guy J. Kovacevich, MD, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 142 Beaver Creek Place, Avon, CO 81620 Phone: 970-949-5434 Fax: 970-949-0376 |
Colorado Mountain Medical, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Beaver Creek Medical Center - Service of Vail Health Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Village Rd Ste 324c, Avon, CO 81620 Phone: 970-949-0800 |
Colorado Mountain Medical, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Buck Creek Rd Ste 100, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Avon Outpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Buck Creek Rd, Suite 100, Avon, CO 81620 Phone: 970-949-6100 |
Howard Head Sports Medicine at Avon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Riverfront Ln Unit C107, Avon, CO 81620 Phone: 970-845-9600 |