NPI: 1851826085
Provider Name: PASSPORT HEALTH HOLDINGS, LLC
Other Name: PPH OHIO, LLC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization
Specialization: Public Health & General Preventive Medicine
CLIA Number: 36D2235987
Address:
121 COMMERCE PARK DR
STE C
WESTERVILLE, OH
ZIP 43082
Phone: (877) 358-8648
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PASSPORT HEALTH HOLDINGS, LLC is a public health and general preventive medicine preventive medicine in Westerville, OH. 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 1851826085. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pph Ohio, Llc.
The provider's business location address is:
121 COMMERCE PARK DR
STE C
WESTERVILLE, OH
ZIP 43082-349
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 36D2235987 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/25/2017 and was last updated on 4/25/2017.