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Contact Information

PASSPORT HEALTH HOLDINGS, LLC
1440 ROCKSIDE RD
SUITE 327
PARMA, OH44134
 Phone: 844-358-8648
 Fax: 877-877-6875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PASSPORT HEALTH HOLDINGS, LLC

NPI # 1083175715
LBN Legal business name PASSPORT HEALTH HOLDINGS, LLC
Authorized official PAUL FISHBURN - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2019
Last updated 02/20/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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