Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Passport Health

Organization Health Service Clinic/Center · NPI 1205255247

Passport Health is a Health Service Clinic/Center in Saint Louis, Missouri. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2025 S Brentwood Blvd Ste 101
Saint Louis, MO 63144-1833
Phone: (314) 997-8100
Fax: (314) 997-8102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1205255247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ltanya Garrison — President · (314) 997-8100
NPI enumeratedApril 7, 2014
Last updated in NPPESOctober 2, 2014
Mailing address2025 S Brentwood Blvd, Suite 101, Saint Louis, MO 63144-1833

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