Revere Health is not a DME supplier for medicare equipments and products.
Revere Health is a Non-pharmacy Dispensing Site in Provo, Utah. This pharmacy is owned and operated by Central Utah Clinic, P.c.. It is located at 1055 N 500 W Ste 202, Provo and it's customer support contact number is 801-374-2367. The authorized person of Revere Health is Jed Harston who is Director Of Managed Care of the pharmacy and his contact number is 801-812-5012. Active license number of Revere Health is 9847128-1725 for Non-pharmacy Dispensing Site in Utah. Revere Health is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Revere Health type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Revere Health
Type:
Non-pharmacy Dispensing Site
Location:
1055 N 500 W Ste 202, Provo, Utah, 84604-3305
Phone:
801-374-2367
Fax:
801-429-8015
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Jed Harston
Position:
Director Of Managed Care
Contact Number:
801-812-5012
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1316330749
NPI Enumeration Date:
10 Mar, 2015
NPI Last Update On:
16 Jun, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revere Health are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
9847128-1725
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1055 N 500 W, Attn: Credentialing Provo, Utah
Zip:
84604-3305
Phone Number:
801-354-8225
Fax Number:
801-418-0941
Patients can reach Revere Health at 1055 N 500 W Ste 202, Provo, Utah or can call on customer care at 801-374-2367.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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