Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Medical Center LLC

Organization Family Medicine Physician · NPI 1740996636

Revive Medical Center LLC is a Family Medicine Physician in Haleyville, Alabama. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1728 11th Ave
Haleyville, AL 35565-1506
Phone: (205) 485-7822
Fax: (260) 399-4004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1740996636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Pickens — Owner/President · (205) 485-7822
NPI enumeratedJanuary 25, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing addressPo Box 1016, Haleyville, AL 35565-1016

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