| Revere Healthcare Solutions, Inc | |
|
302 Fleming St Garden City KS 67846-5972 | |
| (620) 271-1424 | |
| Not Available |
| Full Name | Revere Healthcare Solutions, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 302 Fleming St, Garden City, Kansas |
| Authorized Official Name and Position | Carmine Dipalo (CEO) |
| Authorized Official Contact | 9132838223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revere Healthcare Solutions, Inc 4121 W 83rd St Suite 151 Prairie Village KS 66208-5472 Ph: (913) 283-8223 | Revere Healthcare Solutions, Inc 302 Fleming St Garden City KS 67846-5972 Ph: (620) 271-1424 |
| NPI Number | 1386025914 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386025914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7918758 (Kansas) | Primary |
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