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PASSPORT HEALTH HOLDINGS LLC NPI 1245871110


NPI Information

NPI: 1245871110
Provider Name: PASSPORT HEALTH HOLDINGS, LLC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
22 MONUMENT SQUARE
SUITE 507
PORTLAND, ME
ZIP 04101
Phone: (877) 358-8648
Get Directions

PASSPORT HEALTH HOLDINGS, LLC is a public health and general preventive medicine preventive medicine in Portland, ME. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. PASSPORT HEALTH HOLDINGS, LLC NPI is 1245871110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 MONUMENT SQUARE
SUITE 507
PORTLAND, ME
ZIP 04101-031
Phone: (877) 358-8648
Fax: (877) 877-6875

The provider's authorized official is Dough 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 10/2/2019 and was last updated on 10/2/2019.


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 MedicineYes

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

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