| NPI | 1568870186 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL FISHBURN COO 480-646-9020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2023-02-20 |