Revolution Medical Center, Inc
NPI 1710169180 · Primary Care Clinic/Center · Phoenix, AZ
Revolution Medical Center, Inc is a Primary Care Clinic/Center organization in Phoenix, AZ (NPI 1710169180).
Provider details
- NPI number
- 1710169180
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jesse Haggard, Clinic Director(602) 463-7177
- License
- 04836 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2007-11-28
Frequently asked questions
- What is Revolution Medical Center, Inc's NPI number?
- Revolution Medical Center, Inc's National Provider Identifier (NPI) is 1710169180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolution Medical Center, Inc?
- Revolution Medical Center, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revolution Medical Center, Inc located?
- Revolution Medical Center, Inc's practice location on file with NPPES is 2015 E Camelback Rd, Phoenix, AZ 85016-4710.
- What is Revolution Medical Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Revolution Medical Center, Inc is (602) 840-4400.
- Who is the authorized official for Revolution Medical Center, Inc?
- The authorized official listed on Revolution Medical Center, Inc's NPPES record is Jesse Haggard, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolution Medical Center, Inc's NPI active?
- Yes — Revolution Medical Center, Inc's NPI (1710169180) is active in the NPPES registry as of the last update on 2007-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.