Organization · Type 2 NPI

Passport Health Ohio LLC

Clinic/Center · Greenville, SC

NPI number 1396175287 Active

Practice location

38 Boland Ct
Greenville, SC 29615

Fax (480) 383-6567

Mailing address

6710 E Camelback Rd
Scottsdale, AZ 85251

Specialties and licenses

TaxonomyCodeLicense
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).

5 other providers at this address

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About NPI 1396175287

Passport Health Ohio LLC's National Provider Identifier is 1396175287, issued on Nov 14, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Greenville, SC. The record was last updated on Nov 14, 2013.