PASSPORT HEALTH HOLDINGS LLC is a clinic center in Fairlawn, OH. 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 1972933786. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pph Ohio Llc.
The provider's business location address is:
3610 W MARKET ST
STE 104
FAIRLAWN, OH
ZIP 44333-301
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 36D2235985 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/14/2013 and was last updated on 7/12/2016.