| Revive Community Health | |
|
4700 S Mcclintock Dr Ste 140 Tempe AZ 85282-7375 | |
| (480) 851-6309 | |
| Not Available |
| Full Name | Revive Community Health |
|---|---|
| Speciality | Family Medicine |
| Location | 4700 S Mcclintock Dr Ste 140, Tempe, Arizona |
| Authorized Official Name and Position | Micah Philips (COO) |
| Authorized Official Contact | 6027178599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Community Health 4700 S Mcclintock Dr Ste 140 Tempe AZ 85282-7375 Ph: (480) 851-6309 | Revive Community Health 4700 S Mcclintock Dr Ste 140 Tempe AZ 85282-7375 Ph: (480) 851-6309 |
| NPI Number | 1255916987 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 8527458652 |
|---|---|
| Medicare Enrollment ID | O20211206000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255916987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Aja Maia Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467604942 PECOS PAC ID: 0648444018 Enrollment ID: I20180803001788 |
| Provider Name | Megan Kathleen Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386239549 PECOS PAC ID: 5395101539 Enrollment ID: I20230515001104 |
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