OrganizationActive
Passport to Independence,llc
NPI 1275790081 · Occupational Medicine Clinic/Center · Nampa, ID
Provider details
- NPI number
- 1275790081
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Triolo, Business Manager(208) 461-4882
- License
- OT808 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
764 W Heather Woods Dr
Nampa, ID 83686-2685
Phone: (208) 461-4882
Approximate (ZIP-level) locationGet directions
Mailing address
764 W Heather Woods Dr
Nampa, ID 83686-2685
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.