Active NPI
Bembenek Travel Health Wa
Doing business as Passport Health
- Community Health Worker
- Salem, OR
National Provider Identifier
1164287520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- BEMBENEK TRAVEL HEALTH WA
- Doing business as
- Passport Health
- Practice address
- 3000 Market St NE
Ste 521
Salem, OR 97301 - Phone
- (844) 358-8648
- Fax
- (877) 877-6875
- NPI assigned
- Feb 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Rapier
- Title
- Medical Billing Specialist
- Phone
- (480) 646-9035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
3000 Market St NE
Ste 521
Salem, OR 97301
Mailing address
4343 East Outlier BLV.
Suite 100W
Phoenix, AZ 85008-6507
Phone (844) 358-8648
Other names 1
- Passport Health
National Provider Directory
National Provider Directory- Tax ID family
- Bembenek Travel Health Wa
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3000 Market St NE
Ste 521
Salem, OR 97301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1164287520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 EAST OUTLIER BLV.",
"address_2": "SUITE 100W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086507",
"telephone_number": "844-358-8648",
"fax_number": "877-877-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MARKET ST NE",
"address_2": "STE 521",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "844-358-8648",
"fax_number": "877-877-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEMBENEK TRAVEL HEALTH WA",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"status": "A",
"authorized_official_last_name": "RAPIER",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
"authorized_official_telephone_number": "480-646-9035"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.