Revere Health PC
NPI 1093764805ActiveOrganization· Clinic/Center, Multi-Specialty· Provo, UT
Clinic/Center, Multi-Specialty in Provo, Utah, registered in NPPES in May 2006. The authorized official on file is Elizabeth Hoyt, Business Office Director. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - multi-specialty - physician.
Overview
| NPI | 1093764805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2006 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV); DME Supplier - Multi-Specialty - Physician (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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