Organization · Type 2 NPI

Passport Health Holdings LLC

Clinic/Center · Overland Park, KS

NPI number 1407189392 Active

Practice location

8826 Santa Fe Drive, Suite 217
Overland Park, KS 66212-3655

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).

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About NPI 1407189392

Passport Health Holdings LLC's National Provider Identifier is 1407189392, issued on Sep 10, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Overland Park, KS. The record was last updated on Apr 1, 2022.