PASSPORT TO INDEPENDENCELLC NPI 1275790081

NPI Information

NPI: 1275790081
Provider Name: PASSPORT TO INDEPENDENCE,LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
764 W HEATHER WOODS DR
NAMPA, ID
ZIP 83686
Phone: (208) 461-4882
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PASSPORT TO INDEPENDENCE,LLC is an occupational medicine clinic center in Nampa, ID. PASSPORT TO INDEPENDENCE,LLC NPI is 1275790081. The provider is registered as an organization entity type.

The provider's business location address is:

764 W HEATHER WOODS DR
NAMPA, ID
ZIP 83686-685
Phone: (208) 461-4882

The provider's authorized official is Michael Anthony Triolo .
The authorized official title is Business Manager and has the following contact phone number (208) 461-4882.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine	OT808	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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