Organization · Type 2 NPI
Passport Health Holdings, LLC
Clinic/Center · Greenville, SC
NPI number
1619394335
Active
Practice location
37 Villa Road, Suite 301
Greenville, SC 29615-3038
Fax (877) 877-6875
Mailing address
668 N 44th St, Suite 100W
Phoenix, AZ 85008-6507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None 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 1619394335
Passport Health Holdings, LLC's National Provider Identifier is 1619394335, issued on Mar 19, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Greenville, SC. The record was last updated on Apr 1, 2022.