| NPI | 1619488103 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL FISHBURN Chief Operating Officer 480-646-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-08-03 |