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Inadvance Medicine Associated PA

Community Health Worker in Winston-Salem, NC. Organization (NPI-2).

NPI number1265337307
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1265337307
Entity type
Organization (NPI-2)
Legal business name
Inadvance Medicine Associated PA
Organization subpart
No
Enumeration date
Oct 9, 2026
Last updated
Oct 9, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Other names

  • Passport Health (Doing Business As)

Practice location

3000 Bethesda Pl
Suite 101
Winston-Salem, NC 27103-3323

Phone 877-358-8648 · Fax 877-877-6875

Mailing address

4343 East Outlier Blvd.
Suite 100w
Phoenix, AZ 85008-6507

Phone 877-358-8648 · Fax 877-877-6875

Authorized official

Juana Slack
Medical Billing Specialist
4806469086

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Winston Salem, NC

All 9 Community Health Worker providers in Winston Salem · All 11,775 providers in Winston Salem

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