PASSPORT HEALTH OF MOLINE – NPI #1053518787
Clinic/Center

PASSPORT HEALTH OF MOLINE is an AHC clinic located in MOLINE, IL. NPPES has assigned the NPI number 1053518787 to PASSPORT HEALTH OF MOLINE on June 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PASSPORT HEALTH OF MOLINE” is a dba name, the actual legal business name for this organization is TRAVELWELL LLC. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PASSPORT HEALTH OF MOLINE below.

NPI Profile for
TRAVELWELL LLC

NPI Number
1053518787
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRAVELWELL LLC
Doing Business As (dba): PASSPORT HEALTH OF MOLINE
Primary location
515 VALLEY VIEW DR
SUITE 103
MOLINE, IL 61265-6175
Phone: (309) 757-1252 Fax: (309) 757-7398
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRACEY MCLOONE
MEDICAL DIRECTOR
Phone: (309) 757-1252
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 IL 36096406

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.