Organization · Type 2 NPI

Passport Health Holdings, LLC

Clinic/Center · Boise, ID

NPI number 1215366406 Active

Practice location

910 Main St, Suite 352
Boise, ID 83702-5720

Call (877) 358-8648 Map

Fax (877) 877-6875

Mailing address

668 N 44th St, Suite 100W
Phoenix, AZ 85008-6507

Specialties and licenses

TaxonomyCodeLicense
Public Health & General Preventive Medicine Physician 2083P0901XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

2 other providers at this address

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About NPI 1215366406

Passport Health Holdings, LLC's National Provider Identifier is 1215366406, issued on Nov 7, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Boise, ID. The record was last updated on Apr 1, 2022.