Passport To Independence,Llc

LBN: Passport To Independence,Llc
Passport To Independence,Llc is an health care organization with primary practice located at 764 W Heather Woods Dr , Nampa ID 83686-2685. The organization recently has only one registered license in Ambulatory Health Care Facilities / Occupational Medicine, which is considered as the primary health care specialty. Passport To Independence,Llc can be contacted via phone (208) 461-4882, or through Triolo, Michael Anthony via phone (208) 461-4882.

Contact Information

Primary practice address
764 W Heather Woods Dr Nampa ID 83686-2685
Phone: (208) 461-4882
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Triolo, Michael Anthony RPH
Phone: (208) 461-4882

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X OT808 Idaho

Profile Details

NPI number 1275790081
LBN Legal business name Passport To Independence,Llc
DBA Doing business as
Authorized official Triolo, Michael Anthony RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers