Organization · Type 2 NPI
Revive Infusion Clinic, LLC
Infusion Therapy Clinic/Center · Eagle River, AK
NPI number
1457226789
Active
Practice location
19332 War Admiral Rd
Eagle River, AK 99577-8482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1457226789
Revive Infusion Clinic, LLC's National Provider Identifier is 1457226789, issued on Oct 7, 2025. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Eagle River, AK. The record was last updated on Nov 19, 2025.