| NPI | 1598195489 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Former Legal Business Name | PPH OHIO LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL FISHBURN Chief Operating Officer 480-646-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2022-04-01 |