PASSPORT HEALTH
NPI 1467691568
Specialist in North Charleston, SC
NPI Status: Active since February 12, 2009
Contact Information
2154 N CENTER ST
SUITE A-104
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 225-5688
Fax: (843) 225-5689
- Organization
- Specialist
- CLIA Number: 42D2239610
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-12-2025
About PASSPORT HEALTH
This page provides the complete NPI Profile along with additional information for Passport Health, a provider established in North Charleston, South Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1467691568 assigned on February 2009. The practitioner's primary taxonomy code is 174400000X with license number R98024 (SC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Passport Health. The authorized official of this NPI record is Ms. Ingrid Nielsen Brewster Rn (Executive Director)
- NPI
- 1467691568
- Provider Legal Name
- PALMETTO TRAVEL MEDICINE
- Other Organization Name
- PASSPORT HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2154 N CENTER ST SUITE A-104 NORTH CHARLESTON, SC 29406
- Location Phone
- (843) 225-5688
- Location Fax
- (843) 225-5689
- Mailing Address
- 2154 N CENTER ST SUITE A-104 NORTH CHARLESTON, SC 29406
- Mailing Phone
- (843) 225-5688
- Mailing Fax
- (843) 225-5689
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2009
- Last Update Date
- 02-12-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- R98024
- License State
- SC
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2239610
- Facility Type
- Physician Office
- Certificate Effective Date
- October 13, 2023
- Certificate Expiration Date
- October 12, 2025
- Laboratory Director
- CARA ONEILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Passport Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PASSPORT HEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 6 | 9 | 1 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 9 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 9 + 2 + 5 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1467691568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376890152 | PALMETTO TRAVEL MEDICINE Organization | Clinic/Center (Community Health) | 2154 N CENTER ST SUITE A104 NORTH CHARLESTON, SC 29406 (843) 225-5688 |
| 1376933358 | MONIQUE STINSON Individual | Social Worker | 2154 N CENTER ST STE 410D NORTH CHARLESTON, SC 29406 (843) 647-7415 |
| 1205657129 | CHRISTINA MARIA PEARCE LISC-CP Individual | Social Worker (Clinical) | 2154 N CENTER ST # 402 SUITE D NORTH CHARLESTON, SC 29406 (843) 709-2435 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467691568, enumerated in the NPI registry as an "organization" on February 12, 2009
The provider is located at 2154 N Center St Suite A-104 North Charleston, Sc 29406 and the phone number is (843) 225-5688
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider's CLIA number is 42D2239610 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 12, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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