Passport Health Holdings, LLC
Community Health Worker in Parma, OH. Organization (NPI-2).
NPI number1083175715
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1083175715
- Entity type
- Organization (NPI-2)
- Legal business name
- Passport Health Holdings, LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2019
- Certification date
- Feb 20, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – |
Other names
- Passport Health (Doing Business As)
Practice location
1440 Rockside RdSuite 327
Parma, OH 44134
Phone 844-358-8648 · Fax 877-877-6875
Mailing address
4343 East Outlier Blv.Suite 100w
Phoenix, AZ 85008-6507
Phone 844-358-8648 · Fax 877-877-6875
Authorized official
Paul Fishburn
Coo
4806469020
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