Revivology - Primary Care in South Jordan, UT

Revivology is a primary clinic (Clinic/center) in South Jordan, Utah. The current practice location for Revivology is 11464 S Parkway Plaza Dr, Suite 300, South Jordan, Utah. For appointments, you can reach them via phone at (801) 987-8653. The mailing address for Revivology is 11464 S Parkway Plaza Dr, Suite 300, South Jordan, Utah and phone number is (801) 987-8653.

Revivology is licensed to practice in Utah (license number 9258138-1205) and its NPI number is 1467988832. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (801) 987-8653.

Contact Information

Revivology
11464 S Parkway Plaza Dr
Suite 300
South Jordan
UT 84095-6052
(801) 987-8653
(801) 727-8177

Map and Direction


Primary Care Clinic Profile

Full NameRevivology
SpecialityClinic/center
Location11464 S Parkway Plaza Dr, South Jordan, Utah
Authorized Official Name and PositionChristopher Patrick Kelly (MEDICAL DIRECTOR/OWNER)
Authorized Official Contact8019878653
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revivology
11464 S Parkway Plaza Dr
Suite 300
South Jordan
UT 84095-6052

Ph: (801) 987-8653
Revivology
11464 S Parkway Plaza Dr
Suite 300
South Jordan
UT 84095-6052

Ph: (801) 987-8653

NPI Details:

NPI Number1467988832
Provider Enumeration Date05/04/2017
Last Update Date05/04/2017

Medical Identifiers

Medical identifiers for Revivology such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467988832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 9258138-1205 (Utah)Primary

Reviews and Comments


Clinic/Center in South Jordan, UT

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Phone: 801-441-1004    
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Practice Location: 1868 W 9800 S Ste 100, South Jordan, UT 84095
Phone: 801-433-2873    Fax: 801-433-5734
South Jordan City Fire Department
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Medicare: Not Enrolled in Medicare
Practice Location: 10758 S Redwood Rd, South Jordan, UT 84095
Phone: 801-254-0948    Fax: 801-254-8356

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.