PASSPORT HEALTH, INC.

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Company Details

Name:	PASSPORT HEALTH, INC.
Jurisdiction:	New York
Legal type:	FOREIGN DESIGNATION OF THE SECRETARY OF STATE
Status:	Recorded
Date of registration:	15 Oct 1997 (28 years ago)
Date of dissolution:	15 Oct 1997
Entity Number:	2189712
County:	Blank
Place of Formation:	Maryland

National Provider Identifier

NPI Number:

1649978495

Certification Date:

2023-02-21

Link:

View on NPI website

Authorized Person:

Name:

VICTORIA SOWARDS

Role:

DIRECTOR COMPLIANCE

Phone:

4806469028

Taxonomy:

Selected Taxonomy:

2083P0901X - Public Health & General Preventive Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 480-646-9028

Fax:

8778776875

Phone:

+1 877-358-8648

Form 5500 Series

Employer Identification Number (EIN):

061750197

Plan Year:

2023

Number Of Participants:

11

Sponsors Telephone Number:

5166262004

File:

Plan Year:

2022

Number Of Participants:

10

Sponsors Telephone Number:

5166262004

File:

Plan Year:

2021

Number Of Participants:

9

Sponsors Telephone Number:

5166262004

File:

Plan Year:

2020

Number Of Participants:

9

Sponsors Telephone Number:

5166262004

File:

Plan Year:

2020

Number Of Participants:

9

Sponsors Telephone Number:

5166262004

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State