PASSPORT HEALTH HOLDINGS LLC

NORTH CHARLESTON, SC
NPI1588094585
Former Legal Business NamePPH OHIO LLC
Entity TypeOrganization
Authorized ContactPAUL FISHBURN
Chief Operating Officer
480-646-9020
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
261Q00000X Clinic/Center
Enumeration Date2013-11-13
Last Update Date2022-04-01
Business Address
PASSPORT HEALTH HOLDINGS LLC
2154 NORTH CENTER STREET SUITE A-104
NORTH CHARLESTON, SC 29406-4056
Phone number: 877-358-8648
Mailing Address
PASSPORT HEALTH HOLDINGS LLC
668 N 44TH ST SUITE 100W
PHOENIX, AZ 85008-6507
Phone number: 877-358-8648