PASSPORT HEALTH HOLDINGS LLC is a clinic center in Myrtle Beach, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PASSPORT HEALTH HOLDINGS LLC NPI is 1043640048. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pph Ohio Llc.
The provider's business location address is:
3691 PALMETTO POINT BLVD
STE 301
MYRTLE BEACH, SC
ZIP 29588-202
Phone: (877) 358-8648
Fax: (877) 877-6875
The provider's authorized official is Doug Shackell .
The authorized official title is Director Of Finance and has the following contact phone number (480) 646-9024.
The CLIA number assigned to this NPI record is 42D2239355 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/13/2013 and was last updated on 7/12/2016.