NPIMap

Organization Active NPI

Passport Health Ohio LLC

  • Clinic/Center
  • Greenville, SC
National Provider Identifier
1396175287
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PASSPORT HEALTH OHIO LLC
Doing business as
Passport Health
Practice address
38 Boland CT
Greenville, SC 29615
Phone
(888) 909-6551
Fax
(480) 383-6567
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicki Sowards
Title
Clinical RN Supervis
Phone
(888) 909-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X SC Primary

Addresses

Primary practice location

38 Boland CT
Greenville, SC 29615

Mailing address

6710 E Camelback Rd
Scottsdale, AZ 85251
Phone (888) 909-6551

Other names 1

  • Passport Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Passport Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6710 E Camelback Rd
Scottsdale, AZ 85251

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1396175287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 E CAMELBACK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "888-909-6551",
            "fax_number": "480-383-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BOLAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "888-909-6551",
            "fax_number": "480-383-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "SOWARDS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CLINICAL RN SUPERVIS",
        "authorized_official_telephone_number": "888-909-6551"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.