Passport Health Holdings, LLC
Community Health Worker in Marietta, GA. Organization (NPI-2).
NPI number1922453547
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1922453547
- Entity type
- Organization (NPI-2)
- Legal business name
- Passport Health Holdings, LLC
- Organization subpart
- No
- Enumeration date
- May 2, 2016
- Certification date
- Apr 1, 2022
- Last updated
- Jul 8, 2024
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
2470 Windy Hill RoadSuite 159
Marietta, GA 30067-8613
Phone 877-358-8648 · 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
Sarah Rapier
Medical Billing Specialist
4806469035
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All 8 Community Health Worker providers in Marietta · All 9,180 providers in Marietta
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