Passport Health
Preventive Medicine, Public Health & General Preventive Medicine in Las Vegas, NV. Organization (NPI-2).
Details
- NPI
- 1316645138
- Entity type
- Organization (NPI-2)
- Legal business name
- Passport Health
- Organization subpart
- No
- Enumeration date
- Feb 21, 2023
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – | Yes |
Practice location
7312 W Cheyenne AveSuite 5
Las Vegas, NV 89129
Phone 877-358-8648 · Fax 877-877-6875
Mailing address
668 N 44th StPhoenix, AZ 85008
Phone 480-646-9028 · Fax 877-877-6875
Authorized official
Victoria Sowards
Director Compliance
4806469028
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.
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