Mollen Travel Vaccines, PLLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MOLLEN TRAVEL VACCINES, PLLC

Doing business as

Passport Health

Practice address

5055 E Broadway Blvd
Suite C205
Tucson, AZ 85711

Phone

(844) 358-8648

Fax

(877) 877-6875

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Passport Health Doing business as

Tax ID family

Molled Travel Vaccines PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Molled Travel Vaccines, PLLC

  • Community Health Worker
  • Scottsdale, AZ
  • NPI 1104524222
  NPD tax ID
• Mollen Travel Vaccines, PLLC

  dba Passport Health

  • Community Health Worker
  • Mesa, AZ
  • NPI 1609618891
  NPD tax ID

Locations

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1982483913",
    "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": "5055 E BROADWAY BLVD",
            "address_2": "SUITE C205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "844-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLEN TRAVEL VACCINES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "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": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rudy Molina Jr., PHARM. D.
• Shay Molina
• Paige Molinari
• Jean M Molitor, M.D.
• Molled Travel Vaccines, PLLC (Passport Health)
• Lea Mollon
• Frank Ernst Molls, MD
• Ernesto P Molmenti, MD, PHD
• Momentous Adult Foster Care (Momentous)
• Momentum Health Care PC

• Community Health Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.