| NPI | 1972933786 |
|---|---|
| Former Legal Business Name | PPH OHIO LLC |
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | JUANA SLACK Medical Billing Specialist 480-646-9086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2025-04-30 |