# PASSPORT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770961187
- **Authorized official:** VICTORIA SOWARDS (DIRECTOR OF NURSING RESOURCES)
- **Authorized official phone:** (888) 909-6551

## Contact information

- **Practice address:** 3117 GEARY BLVD, SAN FRANCISCO, CA 94118-3316
- **Practice address phone:** (888) 909-6551
- **Mailing address:** 8324 E HARTFORD DR, SCOTTSDALE, AZ 85255-5466
- **Mailing address phone:** (888) 909-6551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 05/18/2015