OrganizationActive
Inadvance Medicine Associates PA
NPI 1700729225 · Community Health Worker · Fort Wayne, IN
Provider details
- NPI number
- 1700729225
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Juana Slack, Medical Billing Specialist(480) 646-9086
Specialties & taxonomies
Other Service Providers
Practice location
5743 Wilkie Drive
Suite #6
Fort Wayne, IN 46804
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-level) locationGet directions
Mailing address
4343 East Outlier Blvd.
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Passport Health
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.