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PASSPORT HEALTH HOLDINGS LLC NPI 1588094585


NPI Information

NPI: 1588094585
Provider Name: PASSPORT HEALTH HOLDINGS LLC

Former Legal Business Name: PPH OHIO LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2154 N CENTER ST
STE A-104
NORTH CHARLESTON, SC
ZIP 29406
Phone: (877) 358-8648
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PASSPORT HEALTH HOLDINGS LLC is a clinic center in North Charleston, 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 1588094585. 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:

2154 N CENTER ST
STE A-104
NORTH CHARLESTON, SC
ZIP 29406-049
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 enumeration date for this NPI number is 11/13/2013 and was last updated on 7/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
2261Q00000XClinic/CenterSOUTH CAROLINANo
3261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.