Organization · NPI-2
Inadvance Medicine Associated PA
Community Health Worker · Farmington Hills, MI
NPI number1639017643
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1639017643
- Entity type
- Organization (NPI-2)
- Legal business name
- Inadvance Medicine Associated PA
- Organization subpart
- No
- Enumeration date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Other names
- Passport Health (Doing Business As)
Practice location
28200 Orchard Lake RoadSuite 107
Farmington Hills, MI 48334
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
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