Provider Demographics
NPI:1346661659
Name:BUSINESS REVENUE CORPORATION
Entity Type:Organization
Organization Name:BUSINESS REVENUE CORPORATION
Other - Org Name:SPECTRUM HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:CLOVER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYNACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-243-5027
Mailing Address - Street 1:PO BOX 71602
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-0602
Mailing Address - Country:US
Mailing Address - Phone:515-243-2057
Mailing Address - Fax:515-244-5570
Practice Address - Street 1:615 N 2ND AVE W
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3015
Practice Address - Country:US
Practice Address - Phone:515-243-2057
Practice Address - Fax:515-244-5570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-04
Last Update Date:2014-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty